MEDICARE: LAURA E LOYA-FRANK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	036086743	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205895380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA E LOYA-FRANK MD

Provider Business Mailing Address
First Line	:	1350 W LAKE ST
Second Line	:
City	:	MELROSE PARK
State	:	IL
Zip	:	60160-4042
Country	:	US
Telephone Number	:	708-343-8512
Fax Number	:	708-343-8529

Provider Business Practice Location Address
First Line	:	1350 W LAKE ST
Second Line	:
City	:	MELROSE PARK
State	:	IL
Zip	:	60160-4042
Country	:	US
Telephone Number	:	708-343-8512
Fax Number	:	708-343-8529

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	06/22/2024

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Directions to “ LAURA E LOYA-FRANK MD” Practice Location

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