Individual provider Active NPI

Beth Pfeffer Fraum, MD RD

  • Psychiatry Physician
  • Wilmette, IL
National Provider Identifier
1669409983
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036101315 Issued in IL
Practice address
3027 Hill St
Wilmette, IL 60091-2962
Phone
(312) 775-9327
Fax
(312) 775-9327
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036101315 IL Primary

Addresses

Primary practice location

3027 Hill St
Wilmette, IL 60091-2962

Mailing address

3027 Hill St
Wilmette, IL 60091-2962
Phone (847) 922-3923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1669409983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 HILL ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912962",
            "telephone_number": "847-922-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 HILL ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912962",
            "telephone_number": "312-775-9327",
            "fax_number": "312-775-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUM",
        "first_name": "BETH",
        "middle_name": "PFEFFER",
        "credential": "MD RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036101315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.