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NPI Code Detail

MEDICARE: DR. RODDY FRANKEL MD

MEDICARE: DR. RODDY FRANKEL 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
1207W00000XOphthalmology Physician036098053IL

General Provider Information

NPI Number : 1477694982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODDY FRANKEL MD
Provider Business Mailing Address
First Line : 2020 W ILES AVE
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62704-7015
Country : US
Telephone Number : 847-404-0039
Fax Number : 847-551-1240
Provider Business Practice Location Address
First Line : 2000 W MORTON AVE
Second Line :
City : JACKSONVILLE
State : IL
Zip : 62650-2623
Country : US
Telephone Number : 217-245-6814
Fax Number : 217-245-0375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 06/06/2017

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