Organization
FRANKFORT MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERI OLIVER (OFFICE MANAGER)
(708) 756-3037
Entity
Organization
Contact information
Practice address
10181 W LINCOLN HWY, FRANKFORT, IL 60423-1274
(815) 464-7212
(815) 464-7251
Mailing address
1480 MOMENTUM PL, CHICAGO, IL 60689-5314
(815) 464-7212
(815) 277-5327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36099650
IL
261Q00000X
Clinic/Center
036099650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099650
—
IL
01
—
1633069
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/27/2007
Last updated
12/11/2025
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