Provider Demographics
NPI:1225122898
Name:SCOMMEGNA, FRANK P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:P
Last Name:SCOMMEGNA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N. MICHIGAN AVENUE
Mailing Address - Street 2:SUITE 901
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-782-6766
Mailing Address - Fax:
Practice Address - Street 1:30 N. MICHIGAN AVENUE
Practice Address - Street 2:SUITE 901
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3402
Practice Address - Country:US
Practice Address - Phone:312-782-6766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical