Provider Demographics
NPI:1437278561
Name:PAINTER, FRANK M (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:M
Last Name:PAINTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11 S LA GRANGE RD
Mailing Address - Street 2:STE. 204
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2460
Mailing Address - Country:US
Mailing Address - Phone:708-352-8237
Mailing Address - Fax:708-352-8237
Practice Address - Street 1:11 S LA GRANGE RD
Practice Address - Street 2:STE. 204
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2460
Practice Address - Country:US
Practice Address - Phone:708-352-8237
Practice Address - Fax:708-352-8237
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01605886OtherBCBS PROVIDER #
IL01605886OtherBCBS PROVIDER #
ILU51576Medicare UPIN