Bruce Frazin MDSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

03639794 Issued in IL

Legal business name

BRUCE FRAZIN MDSC

Practice address

1616 Grand Avenue
Waukegan, IL 60085

Phone

(847) 249-0850

Fax

(847) 623-0505

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Edward Frazin, MD

Title

Physician

Phone

(847) 249-0850

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1700939535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 GRAND AVENUE",
            "address_2": "SUITE A",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-249-0850",
            "fax_number": "847-623-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 GRAND AVENUE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "60085",
            "telephone_number": "847-249-0850",
            "fax_number": "847-623-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE FRAZIN MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "FRAZIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-249-0850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "03639794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Africa Brown
• Ashley Denise Brown, PHARMD
• Lundon Shari Brown, DNP, FNP-C
• Nicole Adelita Brown, OTR/L
• Shaquita D Brown, BA IN SOCIAL WORK
• Shannon Marie Brumund, M.D.
• Deborah L Brunder, RN
• Duyen Bui
• Ferdinand Bundang, PT
• Daniel Burgos, LPC

• Nephrology Physician in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.