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NPI Code Detail

MEDICARE: SAMANTHA NICOLE FRAKES

MEDICARE: SAMANTHA NICOLE FRAKES
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1922954346
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA NICOLE FRAKES
Provider Business Mailing Address
First Line : 555 31ST ST
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 555 31ST ST
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1235
Country : US
Telephone Number : 630-971-6080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ SAMANTHA NICOLE FRAKES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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