Individual
FRANK ANTONIO MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 GREEN BAY RD, DEPARTMENT OF MEDICINE (111), NORTH CHICAGO, IL 60064-3048
(224) 610-2001
(224) 610-3868
Mailing address
1601 BUSH CT, LIBERTYVILLE, IL 60048-4400
(847) 918-1869
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036079042
IL
207RP1001X
Pulmonary Disease Physician
Primary
036079042
IL
Other
Enumeration date
07/26/2006
Last updated
05/07/2015
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