Healthcare Provider Details

I. General information

NPI: 1659564292
Provider Name (Legal Business Name): FRANKFORT MEDICAL CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10181 W LINCOLN HWY
FRANKFORT IL
60423-1274
US

IV. Provider business mailing address

1480 MOMENTUM PL
CHICAGO IL
60689-5314
US

V. Phone/Fax

Practice location:
  • Phone: 815-464-7212
  • Fax: 815-464-7251
Mailing address:
  • Phone: 815-464-7212
  • Fax: 815-277-5327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number036099650
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number36099650
License Number StateIL

VIII. Authorized Official

Name: MRS. SHERI OLIVER
Title or Position: OFFICE MANAGER
Credential:
Phone: 708-756-3037