DR. M. TERESA C. FRASER


Address: 1701 W. Garden Street, Peoria, IL 61605-3531
Phone: 3096807600

DR. M. TERESA C. FRASER (NPI# 1093928566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093928566
Entity Type Individual
Full Name DR. M. TERESA C. FRASER
Credential M.D.
Practice Address 1701 W. Garden Street
Peoria
IL 61605-3531
Mailing Address 1701 W. Garden Street
Heartland Community Health Clinic
Peoria
IL 61605-3531
Practice Telephone 3096807600
Practice Fax Number 3096807637
Mailing Telephone 3096807600
Mailing Fax Number 3096765506
Enumeration Date 2007-05-08
Last Update Date 2010-08-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
036-088897 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036088897 05
IL MEDICARE GROUP # 809840 01

Office Location

Street Address 1701 W. GARDEN STREET
City PEORIA
State IL
Zip Code 61605-3531

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841382298 Devashish Agarwal Family Medicine 1701 W. Garden Street, Peoria, IL 61605 2006-09-29
1922168293 Yvonne M Mccall Physician Assistant 1701 W. Garden Street, Peoria, IL 61605-3531 2006-12-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386131878 Nicholas Anthony Helling Physical Therapist 518 W Romero B Garret Ave, Poeria, IL 61605 2018-04-19
1891241022 Peoria Slf Lp Assisted Living Facility 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 2016-08-28
1932479664 Michelle L Whitelow Nurse Practitioner 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 2012-01-11
1982852877 Jason M Anane-sefah Orthopaedic Surgery 303 North Kumpf Boulevard, Peoria, IL 61605 2008-09-04
1902098908 Calvary Elderly Home Help Program Home Health 1709 W Lincoln Ave, Peoria, IL 61605 2007-08-14
1023104437 Thomas Anderson Optometrist 710 W Third Avenue, Peoria, IL 61605 2006-10-04
1497763197 Larry T Rolle Pharmacist 411 Martin Luther King Dr., Peoria, IL 61605 2006-08-04
1568404762 Joseph P Kelly Iv Physical Therapist 303 N. Kumpf Blvd, Peoria, IL 61605 2006-06-12
1003861634 Patrick William Elwood Neurological Surgery 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 2006-05-23
1639148356 William G Nulty Pediatrics One Illini Dr, Medical Service Plan, Peoria, IL 61605 2006-03-15
Find all providers in zip 61605

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326244682 Maria S. Parr Psychiatry & Neurology Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 2007-06-25
1881815488 Jacob Tony Psychiatry & Neurology 900 Main St Ste 250, Peoria, IL 61602-5006 2007-05-01
1861473076 Dennis Q Mcmanus Psychiatry & Neurology 8600 N Il-91, Suite 110, Peoria, IL 61615 2005-11-07
1073503819 Robert I(sa) Pfeffer Psychiatry & Neurology 3323 W Gloucester Ct, Peoria, IL 61615-2601 2005-10-24
1558366856 Asad Ehtisham Psychiatry & Neurology 15396 N 83rd Ave Ste E, Peoria, AZ 85381-5627 2005-06-15
1700375854 Maxwell Quincy Nyce Psychiatry & Neurology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2018-05-03
1396145264 Envi Pllc Psychiatry & Neurology 15396 N 83rd Ave Ste E, Peoria, AZ 85381-5627 2014-08-28
1134535693 Elias Samaha Psychiatry & Neurology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2014-07-05
1831504844 Javad Alam Psychiatry & Neurology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2014-06-27
1285047977 Deepak Reddy Psychiatry & Neurology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2014-06-10
Find all providers in PEORIA

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City PEORIA
Zip Code 61605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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