Provider Demographics
NPI:1871568667
Name:FRAZEL, JEANNE E (APRN-BC, ANP)
Entity type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:E
Last Name:FRAZEL
Suffix:
Gender:F
Credentials:APRN-BC, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 MEACHAM AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-3468
Mailing Address - Country:US
Mailing Address - Phone:847-825-2720
Mailing Address - Fax:
Practice Address - Street 1:RAINBOW HOSPICE
Practice Address - Street 2:444 N. NORTHWEST HIGHWAY
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068
Practice Address - Country:US
Practice Address - Phone:847-685-9900
Practice Address - Fax:847-685-6390
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q27398Medicare UPIN
K22876Medicare ID - Type Unspecified