MEDICARE: MS. BARBARA FRANK R.N.-C.N.P.

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	363LF0000X	Family Nurse Practitioner	209.002923	IL

General Provider Information

NPI Number	:	1356600258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA FRANK R.N.-C.N.P.

Provider Business Mailing Address
First Line	:	2054 W FARWELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-4963
Country	:	US
Telephone Number	:	773-262-0277
Fax Number	:	773-262-0285

Provider Business Practice Location Address
First Line	:	2054 W FARWELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-4963
Country	:	US
Telephone Number	:	773-262-0277
Fax Number	:	773-262-0285

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

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	05/11/2012

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