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Individual

KELLEY ANN FRANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
800 BIESTERFIELD RD, SUITE 406, ELK GROVE VILLAGE, IL 60007-3361
(847) 258-5524
(847) 979-8076
Mailing address
PO BOX 871, ARLINGTON HEIGHTS, IL 60006-0871
(847) 956-1269

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
016004333
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60001714
BC/BS NUMBER
IL
01
P00000748
RR MEDICARE PIN
IL
Enumeration date
10/01/2006
Last updated
12/11/2012
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