Lee William Fruson
Adult Reconstructive Orthopaedic Surgeon
1161 W. Harrison St Ste: 400
Chicago
, Illinois 60612
Lee William Fruson
Adult Reconstructive Orthopaedic Surgeon
1161 W. Harrison St Ste: 400
Chicago
, Illinois 60612
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Lee William Fruson
- 1-1528 29th Avenue Sw
- Calgary, ALBERTA
- Zip : T2T IM3
- Phone :
Second Address
- Lee William Fruson
- 1161 W. Harrison St Ste: 400
- Chicago, IL
- Zip : 60612
- Fax : (708) 409-5179
- Phone : (312) 432-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036.158462 | IL |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 125.077332 | IL |
National Provider Identifier
| NPI | 1508434903 |
|---|---|
| Provider Name | Lee William Fruson |
| First Address | Calgary, ALBERTA T2T IM3 |
| Second Address | Chicago, IL 60612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2021 |
| Last Update Date | 26/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.