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General NPI Number Information
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NPI Number | 1790213338
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Entity Type | Organization
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Legal Business Name | J I FRANK, MD, SC
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 05/26/2017
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Provider Practice Location Address
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Address Line | 355 W DUNDEE RD STE 110
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-3500
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Country | US
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Telephone | 773-612-8399
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Fax | 847-520-0500
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Provider Business Mailing Address
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Address Line | 355 W DUNDEE RD STE 110
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-3500
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Country | US
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Telephone | 773-612-8399
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Fax | 847-520-0500
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY ISIDORE FRANK
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Credential | MD
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Telephone | 773-612-8399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036075689
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License Number State | IL
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