Provider Demographics
NPI:1407929144
Name:FRANK, JUDITH E (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:E
Last Name:FRANK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6506 N TOWER CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3216
Mailing Address - Country:US
Mailing Address - Phone:847-679-0912
Mailing Address - Fax:847-568-9298
Practice Address - Street 1:675 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1634
Practice Address - Country:US
Practice Address - Phone:708-450-5085
Practice Address - Fax:708-344-3909
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036076312207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036076312Medicaid
ILE19338Medicare UPIN
IL036076312Medicaid