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General NPI Number Information
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NPI Number | 1952656761
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Entity Type | Individual
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Provider Name | CHRISTOPHER FROHM O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 200 NORTHFIELD RD STE 2
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City | NORTHFIELD
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State | IL
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Zip | 60093-3312
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Country | US
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Telephone | 224-255-6897
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Fax | 224-255-6899
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Provider Business Mailing Address
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Address Line | 205 AUTUMN LN
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City | VERNON HILLS
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State | IL
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Zip | 60061-2035
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Country | US
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Telephone | 773-852-7560
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.6121-THER
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046010728
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License Number State | IL
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