Healthcare Provider Details

I. General information

NPI: 1740192038
Provider Name (Legal Business Name): AARON STRUPECK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 N LOCUST ST
FRANKFORT IL
60423-1123
US

IV. Provider business mailing address

441 N LOCUST ST
FRANKFORT IL
60423-1123
US

V. Phone/Fax

Practice location:
  • Phone: 847-431-3682
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.569647
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: