Healthcare Provider Details

I. General information

NPI: 1891010500
Provider Name (Legal Business Name): DENISE A. FRER ED.D., CH, CHTP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 NORTH SHEFFIELD AVENUE UNIT 1
CHICAGO IL
60657
US

IV. Provider business mailing address

3118 NORTH SHEFFIELD AVENUE 3118 NORTH SHEFFIELD AVENUE
CHICAGO IL
60657
US

V. Phone/Fax

Practice location:
  • Phone: 708-431-2816
  • Fax:
Mailing address:
  • Phone: 708-431-2816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: