NPI 1093928566

M. Teresa C. Fraser, MD

Practitioner Neurology Physician Peoria, IL

Practice location

Address: 1701 W. Garden Street, Peoria, IL 61605-3531
Phone: (309) 680-7600
Fax: (309) 680-7637
Mailing address: 1701 W. Garden Street Heartland Community Health Clinic, Peoria, IL 61605-3531

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 036-088897 (IL)

Other Psychiatry & Neurology providers in Illinois →

Registry record

NPI: 1093928566
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2007
Record last updated: 9 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.