MEDICARE: DR. CHARLES JOSEPH FRAHM M.D.

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	207RC0000X	Cardiovascular Disease Physician	036032334	IL

General Provider Information

NPI Number	:	1427457399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES JOSEPH FRAHM M.D.

Provider Business Mailing Address
First Line	:	1200 E MADISON PARK
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-2961
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 E MADISON PARK
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60615-2961
Country	:	US
Telephone Number	:	773-624-4486
Fax Number	:

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

Provider Enumeration Date	:	08/17/2014
Last Update Date	:	05/17/2026

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