Organization
FRANKFORT MEDICAL CLINIC
Active
Parent organization
FRANKFORT MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FRANKFORT MEDICAL CLINIC
Authorized official
MRS. KIAYONA TORRES (BILLING)
(219) 756-3988
Entity
Organization
Contact information
Practice address
3800 W 203RD ST, SUITE 201, OLYMPIA FIELDS, IL 60461-1184
(815) 464-7212
Mailing address
1480 MOMENTUM PL, CHICAGO, IL 60689-5314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63103449
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103449
—
IL
Enumeration date
07/03/2008
Last updated
07/31/2008
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