BRUCE FRAZIN MDSC NPI 1700939535

NPI Information

  • NPI: 1700939535
  • Provider Name: BRUCE FRAZIN MDSC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 1616 GRAND AVENUE
    WAUKEGAN, IL
    ZIP 60085
  • Phone: (847) 249-0850

Map and Directions

Get Directions

NPI Details

BRUCE FRAZIN MDSC is a nephrology internal medicine in Waukegan, IL. The provider is 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. BRUCE FRAZIN MDSC NPI is 1700939535. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1616 GRAND AVENUE
WAUKEGAN, IL
ZIP 60085
Phone: (847) 249-0850
Fax: (847) 623-0505

The provider's authorized official is Bruce Edward Frazin .
The authorized official title is Physician and has the following contact phone number (847) 249-0850.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 3/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology03639794ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C38294MEDICARE UPINILLINOIS
2246830MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI