Provider Demographics
NPI:1962622241
Name:FRASZCZYNSKI, LUDMILA (DDS)
Entity type:Individual
Prefix:DR
First Name:LUDMILA
Middle Name:
Last Name:FRASZCZYNSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1757
Mailing Address - Country:US
Mailing Address - Phone:847-362-6222
Mailing Address - Fax:847-362-6449
Practice Address - Street 1:210 N BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1757
Practice Address - Country:US
Practice Address - Phone:847-362-6222
Practice Address - Fax:847-362-6449
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice