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NPI Code Detail

MEDICARE: MS. LESLI ELIZABETH FRANK PA-C

MEDICARE: MS. LESLI ELIZABETH FRANK PA-C
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
1363A00000XPhysician Assistant085006284IL

General Provider Information

NPI Number : 1770096000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LESLI ELIZABETH FRANK PA-C
Provider Business Mailing Address
First Line : 550 W OGDEN AVE
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3186
Country : US
Telephone Number : 630-323-6116
Fax Number : 630-920-2355
Provider Business Practice Location Address
First Line : 4700 GILBERT AVE STE 51
Second Line :
City : WESTERN SPRINGS
State : IL
Zip : 60558-1664
Country : US
Telephone Number : 708-387-1737
Fax Number : 630-920-2355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2017
Last Update Date : 05/01/2024

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