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Dr. Edward Kent Frye, MD
Urology Physician in Kankakee, Illinois
NPI 1952392557

Edward Kent Frye is a Urology Physician based in Kankakee, IL. Edward Kent Frye practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for Edward Kent Frye is 1952392557 and holds a License No. 036081908 (Illinois).

The current practice location address for Edward Kent Frye is 455 W Court St, Kankakee, IL and can be reached out via phone at 815-939-3190 and via fax at 815-935-5101.

Location: 455 W Court St, Kankakee, IL, 60901-3679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952392557
Provider Name
Edward Kent Frye
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
455 W Court St, Kankakee, IL, 60901-3679
Phone Number
815-939-3190
Fax Number
815-935-5101
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03081908 05 IL
IL1789 01 IL MEDICARE GROUP PTAN
IL1789002 01 IL MEDICARE PTAN
4600208 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
455 W Court St
City
Kankakee
State
Illinois
Zip
60901-3679
Phone Number
815-939-3190
Fax Number
815-935-5101
person
Provider Business Mailing Address Details
Address
455 W Court St
City
Kankakee
State
Illinois
Zip
60901-3679
Phone Number
815-939-3190
Fax Number
815-935-5101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
036081908 (Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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