Healthcare Provider Details

I. General information

NPI: 1053051896
Provider Name (Legal Business Name): AUGUST JAMES FRANK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S CALIFORNIA AVE STE 1
CHICAGO IL
60608-1694
US

IV. Provider business mailing address

1401 S CALIFORNIA AVE STE 1
CHICAGO IL
60608-1694
US

V. Phone/Fax

Practice location:
  • Phone: 773-565-3074
  • Fax:
Mailing address:
  • Phone: 773-565-3074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number036.174298
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: