MEDICARE: THOMAS L FRANZEN 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	207Q00000X	Family Medicine Physician	036094375	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
2	053321001	OTHER	IL	DMERC

General Provider Information

NPI Number	:	1609895499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS L FRANZEN MD

Provider Business Mailing Address
First Line	:	P.O. BOX 6002
Second Line	:
City	:	URBANA
State	:	IL
Zip	:	61803-6002
Country	:	US
Telephone Number	:	217-326-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 E. GROVE STREET
Second Line	:
City	:	RANTOUL
State	:	IL
Zip	:	61866
Country	:	US
Telephone Number	:	217-893-7700
Fax Number	:	217-893-7801

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	11/21/2013

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Directions to “ THOMAS L FRANZEN MD” Practice Location

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