Individual
DR. FRANTZ PIERRE-JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-4761
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00036940
WA
2085R0202X
Diagnostic Radiology Physician
MD00036940
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036146347
IL
2085R0204X
Vascular & Interventional Radiology Physician
MD00036940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036146347
—
IL
05
—
1003910
—
WA
01
—
125089
L&I
WA
01
—
2263382
AETNA
—
01
—
300091837
RAILROAD MEDICARE
—
01
—
350495
L&I-RADIA REST OF WA
WA
01
—
350496
L&I-RADIA KING COUNTY
WA
05
—
8237224
—
WA
01
—
8922739
CRIME VICTIMS
WA
01
—
PI6814
REGENCE
WA
Enumeration date
02/15/2006
Last updated
04/03/2025
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