Individual
FRANK MINARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 515, CHICAGO, IL 60631-3745
(773) 792-2100
(773) 792-8578
Mailing address
7447 W TALCOTT AVE, SUITE 515, CHICAGO, IL 60631-3745
(773) 792-2100
(773) 792-8578
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036062366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062366
—
IL
01
—
31601286
BLUE SHIELD BLUE CROSS
IL
Enumeration date
07/01/2006
Last updated
12/14/2007
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