Healthcare Provider Details

I. General information

NPI: 1881518991
Provider Name (Legal Business Name): ALLISON MARY FRALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17930 WOLF RD
ORLAND PARK IL
60467-5412
US

IV. Provider business mailing address

16142 76TH AVE
TINLEY PARK IL
60477-1577
US

V. Phone/Fax

Practice location:
  • Phone: 708-479-1744
  • Fax:
Mailing address:
  • Phone: 708-479-1744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.309232
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: