Provider Demographics
NPI:1689616625
Name:ZAKER, FRANK (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:ZAKER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22435 CRIMSON LN
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8554
Mailing Address - Country:US
Mailing Address - Phone:815-806-8371
Mailing Address - Fax:
Practice Address - Street 1:9602 S ROBERTS RD
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2238
Practice Address - Country:US
Practice Address - Phone:708-237-2020
Practice Address - Fax:708-237-2210
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046008268152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL046008268Medicare UPIN
IL378850Medicare PIN