# SPINE & SPORTS PHYSIATRISTS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215134382
- **Authorized official:** LAWRENCE W. FRANK M.D. (PRESIDENT)
- **Authorized official phone:** (630) 834-9991

## Contact information

- **Practice address:** 183 N ADDISON AVE, ELMHURST, IL 60126-2748
- **Practice address phone:** (630) 834-9991
- **Mailing address:** PO BOX 52, ELMHURST, IL 60126-0052
- **Mailing address phone:** (630) 834-9991
- **Mailing address fax:** (630) 834-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036-088796 | IL | Yes |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 04/26/2019