Organization
KELLEY FRANK DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY ANN FRANK DPM (PRESIDENT)
(847) 691-5411
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60001714
BLUE CROSS/ BLUE SHIELD
IL
01
—
P00000748
RAILROAD MEDICARE
IL
Enumeration date
12/10/2008
Last updated
12/11/2012
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