MEDICARE: JEFFREY I 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	2084N0400X	Neurology Physician	036075689	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	:	1477604452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY I FRANK MD

Provider Business Mailing Address
First Line	:	355 W DUNDEE RD
Second Line	:	STE 110
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-3500
Country	:	US
Telephone Number	:	773-612-8399
Fax Number	:	847-520-0500

Provider Business Practice Location Address
First Line	:	355 W DUNDEE RD
Second Line	:	STE 110
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-3500
Country	:	US
Telephone Number	:	773-612-8399
Fax Number	:	847-520-0500

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	06/08/2017

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