Individual
DR. GARY FRUMKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3506 CLARK RD, SARASOTA, FL 34231-8408
(941) 299-0114
Mailing address
5201 WILLOW SPRINGS RD, SUITE 160, LAGRANGE, IL 60525
(708) 354-0920
(708) 354-0974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-065283
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403270
GROUP PTAN
IL
Enumeration date
06/16/2006
Last updated
07/19/2024
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