# FRANKFORT MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FRANKFORT MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669635223
- **Legal business name:** FRANKFORT MEDICAL CLINIC
- **Authorized official:** MRS. KIAYONA TORRES (BILLING)
- **Authorized official phone:** (219) 756-3988

## Contact information

- **Practice address:** 3800 W 203RD ST, SUITE 201, OLYMPIA FIELDS, IL 60461-1184
- **Practice address phone:** (815) 464-7212
- **Mailing address:** 1480 MOMENTUM PL, CHICAGO, IL 60689-5314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 63103449 | IL | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 07/31/2008