Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Fraser

Individual provider Diagnostic Radiology Physician · NPI 1194826115

Kenneth Fraser is a Diagnostic Radiology in Peoria, Illinois. Graduated from George Washington University School of Medicine in 1982, 44 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Trained at
George Washington University School of Medicine
Licensed in
IL
In the registry since
2006
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Practice location Address checks out

411 Hamilton Blvd 1824
Peoria, IL 61602-1144
Phone: (309) 494-9320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 088568 (IL)

Record details

NPI number1194826115
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESOctober 30, 2007
Mailing address10335 N Port Washington Rd, Suite 250, Mequon, WI 53092-5763

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations23 on file with Medicare

Other providers in Peoria