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NPI Code Detail

MEDICARE: FRANK W ZAPPA,DPM,SC

MEDICARE: FRANK W ZAPPA,DPM,SC
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
1213ES0103XFoot & Ankle Surgery Podiatrist016002513IL

General Provider Information

NPI Number : 1871873794
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANK W ZAPPA,DPM,SC
Provider Business Mailing Address
First Line : 1226 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4709
Country : US
Telephone Number : 312-243-3769
Fax Number : 312-243-3840
Provider Business Practice Location Address
First Line : 1226 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4709
Country : US
Telephone Number : 312-243-3769
Fax Number : 312-243-3840
Authorized Official
Title or Position : DIRECTOR
Name : FRANK W ZAPPA
Credential : DPM
Telephone Number : 312-243-3769
Provider Enumeration Date : 08/23/2011
Last Update Date : 08/23/2011

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