Fraden Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036084112 Issued in IL

Legal business name

FRADEN INC

Practice address

1770 First Street
Suite 330
Highland Park, IL 60035-2538

Phone

(847) 433-8065

Fax

(847) 433-8447

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Denise Walt, MDNPI 1447470620

Title

Pres

Phone

(847) 433-8065

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Walt, MD

  • Psychiatry Physician
  • Highland Park, IL
  • NPI 1447470620
  NPD (past) Authorized official

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1851623342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 1ST ST",
            "address_2": "SUITE 330",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353200",
            "telephone_number": "847-433-8065",
            "fax_number": "847-433-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 FIRST STREET",
            "address_2": "SUITE 330",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352538",
            "telephone_number": "847-433-8065",
            "fax_number": "847-433-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRADEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "WALT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "847-433-8065",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036084112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Fishman, PHD
• Candace Fleischmann
• Ioanna Florakos, PA-C
• Andrea Marie Fonacier, PA-C
• David Fowkes, ATC, MS, FF/PM
• Tiffani Stroup Franada, D.O.
• Crista Joy Frank, DPM
• Phylis M Frankel, PHD
• Lee S Freedman, MD
• Freedom Home Care, LLC

• Neurology Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.