Healthcare Provider Details

I. General information

NPI: 1760427314
Provider Name (Legal Business Name): FRANK WILLIAM ZAPPA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 W TAYLOR ST
CHICAGO IL
60607-4709
US

IV. Provider business mailing address

1226 W TAYLOR ST
CHICAGO IL
60607-4709
US

V. Phone/Fax

Practice location:
  • Phone: 312-243-3769
  • Fax: 312-243-3840
Mailing address:
  • Phone: 312-243-3769
  • Fax: 312-243-3840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: