Most Relevant Information
Provider Data
| NPI Number: | 1003407420 |
| Provider Name: | ALVARO FRIAS-PARTIDA ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 096.004598 |
Most Important Dates
| Enumeration Date: | 01/28/2021 |
| Last Updated: | 01/28/2021 |
Provider Practice Location
334 HOMEWOOD DR
BOLINGBROOK
IL
604402528
Practice Location Phone/Fax
| Phone: | 6302358382 |
| Fax: |
Provider Mailing Location
334 HOMEWOOD DR
BOLINGBROOK
IL
604402528
Provider Mailing Phone/Fax
| Phone: | 6302358382 |
| Fax: |