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

Matthew Frisque

Individual provider Physician Assistant · NPI 1457166696

Matthew Frisque is a Physician Assistant in Libertyville, Illinois. Qualified in 2024, 2 years ago. Practices with Illinois Bone and Joint Institute, LLC, a 606-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

720 Florsheim Dr
Libertyville, IL 60048-3757
Phone: (847) 247-4000
Fax: (847) 234-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-0111361 (IL)

Record details

NPI number1457166696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 12, 2025
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Illinois Bone And Joint Institute, Llc — 606 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Libertyville