Provider Demographics
NPI:1487844031
Name:MECCIA, FRANK ANTHONY (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ANTHONY
Last Name:MECCIA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:6219 W CORNELIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-4120
Mailing Address - Country:US
Mailing Address - Phone:773-427-5194
Mailing Address - Fax:773-427-5194
Practice Address - Street 1:7435 W TALCOTT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3707
Practice Address - Country:US
Practice Address - Phone:773-792-7942
Practice Address - Fax:773-792-5151
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL85000463363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical