Healthcare Provider Details

I. General information

NPI: 1801060819
Provider Name (Legal Business Name): MATTHEW G FRAHM D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14335 W CAPITOL DR SUITE 300
BROOKFIELD WI
53005-2396
US

IV. Provider business mailing address

2625 BUTTERFIELD RD STE 301N
OAK BROOK IL
60523-1266
US

V. Phone/Fax

Practice location:
  • Phone: 352-213-6306
  • Fax:
Mailing address:
  • Phone: 630-229-4430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number440712
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: