SearchIllinois1041C0700X

Josh Fraccaro, LSW

NPI 1124602651 · on the registry since 2021

Practice

Address
1416 W Belmont Ave
Chicago, IL 60657
Phone
(773) 799-8966
Clinicians at this address
11

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois