Provider Demographics
NPI:1669409983
Name:FRAUM, BETH PFEFFER (MD RD)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:PFEFFER
Last Name:FRAUM
Suffix:
Gender:F
Credentials:MD RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 HILL ST
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2962
Mailing Address - Country:US
Mailing Address - Phone:847-922-3923
Mailing Address - Fax:
Practice Address - Street 1:3027 HILL ST
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-2962
Practice Address - Country:US
Practice Address - Phone:312-775-9327
Practice Address - Fax:312-775-9327
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361013152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry