Individual
DR. FRANK M. FAYZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-7000
Mailing address
5470 WESSEX CT, APT 210, DEARBORN, MI 48126-4270
(313) 680-2173
(313) 584-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01071636A
IN
2085R0202X
Diagnostic Radiology Physician
069045
GA
2085R0202X
Diagnostic Radiology Physician
35-058853
OH
2085R0202X
Diagnostic Radiology Physician
Primary
4301056038
MI
2085R0202X
Diagnostic Radiology Physician
MD045429E
PA
2085R0202X
Diagnostic Radiology Physician
ME117258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077969
—
OH
05
—
1104856145
—
MI
01
—
455491849-00
OHIO BUREAU OF WORKERS'S COMPENSATION
OH
01
—
455491849050
CARESOURCE
MI
01
—
DT3177
RAILROAD MEDICARE PALMETTO GBA
MI
Enumeration date
07/04/2006
Last updated
08/18/2025
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