| William A Frese, MD | |
| 
					1801 W Taylor St, Suite 2e, Chicago, IL 60612-4795  | |
| (312) 996-7416 | |
| Not Available | 
| Full Name | William A Frese | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 1801 W Taylor St, Chicago, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841340882 | NPI | - | NPPES | 
| 036113073 | Medicaid | IL | |
| 1841340882 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 54693 (Wisconsin) | Secondary | 
| 208000000X | Pediatrics | 036113073 (Illinois) | Primary | 
| Entity Name | The Board Of Trustees Of The University Of Illinois | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158  | 
| Mailing Address | Practice Location Address | 
|---|---|
| William A Frese, MD 840 S Wood St, M/c 856, Chicago, IL 60612-4325 Ph: (312) 413-1884  | William A Frese, MD 1801 W Taylor St, Suite 2e, Chicago, IL 60612-4795 Ph: (312) 996-7416  | 
Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519  | |
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190  | |
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631  | |
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346  | |
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000  | |
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000  | |
Amy Pham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273  |