Provider Demographics
NPI:1770119760
Name:FRATINA, MICHAEL ANTHONY (PA-C)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:FRATINA
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:25 N WINFIELD RD STE 519
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1379
Mailing Address - Country:US
Mailing Address - Phone:630-938-6161
Mailing Address - Fax:630-938-6186
Practice Address - Street 1:25 N WINFIELD RD STE 519
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-1379
Practice Address - Country:US
Practice Address - Phone:630-938-6161
Practice Address - Fax:630-938-6186
Is Sole Proprietor?:No
Enumeration Date:2020-03-21
Last Update Date:2024-03-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant