M. Teresa C. Fraser in Peoria - Neurology
M. Teresa C. Fraser - NPI 1093928566
M. Teresa C. Fraser is a Neurology in Peoria, Illinois. M. Teresa C. Fraser practices all healthcare services and medical treatments related to Neurology. The NPI Number for M. Teresa C. Fraser is 1093928566. The last update date is 2010-08-09.
M. Teresa C. Fraser's current location address is 1701 W. Garden Street, Peoria, Illinois. You can contact this provider via phone number 3096807600 and fax number 3096765506. The mailing address for M. Teresa C. Fraser is 1701 W. Garden Street, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | M. Teresa C. Fraser |
|---|---|
| Address | 1701 W. Garden Street, Peoria, Illinois |
| Phone Number | 3096807600 |
| Fax Number | 3096765506 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093928566 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2010-08-09 |
Provider Mailing Address Detail
| Address | 1701 W. Garden Street |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616053531 |
| Phone Number | 3096807600 |
| Fax Number | 3096765506 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 036-088897 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36088897 | IL | -- | |
| 809840 | IL | MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique identifier code issued to M. Teresa C. Fraser by the Centers for Medicare & Medicaid Services (CMS)?
The M. Teresa C. Fraser has been assigned the NPI (National Provider Identifier) 1093928566. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of M. Teresa C. Fraser?
The M. Teresa C. Fraser is situated at 1701 W. Garden Street, in the city of Peoria, state of IL, with the zip code 616053531.
What is M. Teresa C. Fraser's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for M. Teresa C. Fraser is Neurology, and the taxonomy code that categorizes this field of expertise is 2084N0400X.
When was the M. Teresa C. Fraser's 1093928566 issued?
The M. Teresa C. Fraser's 1093928566 was issued on 2007-05-08.
As of what date were the details pertaining to M. Teresa C. Fraser last refreshed?
The information related to the M. Teresa C. Fraser, including its address, specialty, and other relevant details, was last updated on 2010-08-09.
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