BRUCE FRAZIN MDSC
NPI 1700939535
Internal Medicine - Nephrology in Waukegan, IL

Active since January 18, 2007
1616 GRAND AVENUE, WAUKEGAN, IL 60085(847) 249-0850(847) 623-0505 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce Frazin Mdsc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE FRAZIN MDSC (NPI 1700939535) is a healthcare organization registered as a nephrology in Waukegan, Illinois and active in the NPI registry since January 2007. The organization lists Bruce Edward Frazin, Physician, as its authorized official.

NPPES Registry Identity

NPI1700939535
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBRUCE FRAZIN MDSC
Location Address1616 GRAND AVENUEWaukegan, IL 60085
Mailing Address1616 Grand Avenue, Suite AWaukegan, IL 60085 · (847) 249-0850 · Fax (847) 623-0505
Fax(847) 623-0505
Organization SubpartNo
Authorized OfficialBruce Edward FrazinPhysician · (847) 249-0850
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 2, 2010
NPI 1700939535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in IL · 03639794
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1616 GRAND AVENUE, Waukegan, IL 60085

Other Identifiers 2

Medicare UPINC38294IL
Medicare PIN246830IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1616 GRAND AVENUE
WAUKEGAN, IL 60085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Frazin Mdsc's NPI number?

The NPI number for Bruce Frazin Mdsc is 1700939535. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Bruce Frazin Mdsc located?

Bruce Frazin Mdsc is located at 1616 Grand Avenue, Waukegan, IL 60085. The listed phone number is (847) 249-0850.

What is Bruce Frazin Mdsc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Bruce Frazin Mdsc was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.