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Joseph Frazzetta
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1174100523

Joseph Frazzetta is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Joseph Frazzetta practices in Maywood, IL. The NPI Number for Joseph Frazzetta is 1174100523 and holds a License No. (Illinois).

The current practice location address for Joseph Frazzetta is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 888-584-7888.

Location: 2160 S 1St Ave, Maywood, IL, 60642-0030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174100523
Provider Name
Joseph Frazzetta
Credential
Provider Entity Type
Individual
Gender
Male
Address
2160 S 1St Ave, Maywood, IL, 60642-0030
Phone Number
888-584-7888
Fax Number
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 05 IL
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
888-584-7888
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
888-584-7888
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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