| Doctor Name: | CHERYL LYNN FRAZIER |
| NPI Number: | 1588090880 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP/A-L |
| License Number: | 217000034 |
| Business Practice Address: | 24536 W Bluff Rd Channahon, IL - 604109636 |
| Business Phone Number: | 8159315977 |
| Business Fax Number: | 8155219295 |
| Mailing Address: | 2310 Claridge Dr, JOLIET |
| State: | IL |
| Postal Code: | 604317741 |
| Phone Number: | 8722301357 |
| Fax Number: | |
| NPI Enumeration Date: | 09/18/2013 |
| NPI Last Update Date: | 06/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 217000034 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |