Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone Medical Groups 1
No Affl. Hospitals
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Primary Practice Address
225 E CHICAGO AVE GENERAL ACADEMIC PEDS, LURIE CHILDREN'S HOSPITAL #16
CHICAGO, IL 60611-2605 US
PECOS Enrolled

Joel Edward Frader

Pediatrician


Joel Edward Frader

Overview

Joel Edward Frader is a Pediatrician in the CHICAGO area. Joel Edward Frader primary office location is at 225 E CHICAGO AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1871561340 and the information was updated approximately 13 years ago.

Joel Edward Frader is affiliated with one medical group in the CHICAGO area, PEDIATRIC FACULTY FOUNDATION INC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
225 E CHICAGO AVE GENERAL ACADEMIC PEDS, LURIE CHILDREN'S HOSPITAL #16
CHICAGO, IL 60611-2605 US
Phone: (312)-227-6111
Fax:
Practice Mailing Information
225 E CHICAGO AVE
CHICAGO, IL 60611-2605 US
Phone: (312)-227-6111
Fax: (312)-227-9418
License Number State
036095327 IL
Type/Issuer IdentifierState
MEDICAID 036095327 IL
Taxonomy StatePrimary?
Pediatrician - Taxonomy Code 208000000X ILY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20100628000276
PECOS Individual PAC ID: 8022149517
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes