Healthcare Provider Details

I. General information

NPI: 1508368457
Provider Name (Legal Business Name): FRANKFORT ANESTHESIA AND PAIN CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2018
Last Update Date: 03/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10181 W LINCOLN HWY
FRANKFORT IL
60423-1274
US

IV. Provider business mailing address

PO BOX 371
FRANKFORT IL
60423-0371
US

V. Phone/Fax

Practice location:
  • Phone: 815-464-7212
  • Fax: 888-770-6360
Mailing address:
  • Phone: 815-464-7212
  • Fax: 888-770-6360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ZAKI ANWAR
Title or Position: MEMBER
Credential:
Phone: 815-464-7212