Healthcare Provider Details

I. General information

NPI: 1548480007
Provider Name (Legal Business Name): FRANKFORT SURGICAL CARE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 02/13/2008
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

10181 W LINCOLN HWY
FRANKFORT IL
60423-1274
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. ZAKI ANWAR
Title or Position: CEO
Credential: MD
Phone: 815-464-7212