MEDICARE: DR. FRANK PAUL LA FRANCO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	036-045862	IL
2	207W00000X	Ophthalmology Physician	036045862	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00367555	OTHER	IL	MEDICARE RAILROAD CARRIER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1637185	OTHER	IL	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1615858	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1710954474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK PAUL LA FRANCO MD

Provider Business Mailing Address
First Line	:	4709 W GOLF RD
Second Line	:	SUITE 117
City	:	SKOKIE
State	:	IL
Zip	:	60076-1231
Country	:	US
Telephone Number	:	847-423-2077
Fax Number	:	847-423-2959

Provider Business Practice Location Address
First Line	:	4709 W GOLF RD
Second Line	:	SUITE 117
City	:	SKOKIE
State	:	IL
Zip	:	60076-1231
Country	:	US
Telephone Number	:	847-423-2077
Fax Number	:	847-423-2959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	03/03/2015

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Directions to “ DR. FRANK PAUL LA FRANCO MD” Practice Location

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