Provider Demographics
NPI:1710954474
Name:LA FRANCO, FRANK PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:LA FRANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4709 W GOLF RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1231
Mailing Address - Country:US
Mailing Address - Phone:847-423-2077
Mailing Address - Fax:847-423-2959
Practice Address - Street 1:4709 W GOLF RD
Practice Address - Street 2:SUITE 117
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1231
Practice Address - Country:US
Practice Address - Phone:847-423-2077
Practice Address - Fax:847-423-2959
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-045862207W00000X
IL036045862207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1637185OtherBLUE CROSS BLUE SHIELD
ILP00367555OtherMEDICARE RAILROAD CARRIER
IL036045862 03Medicaid
IL036045862 02Medicaid
IL1615858OtherBLUE CROSS BLUE SHIELD
IL1637185OtherBLUE CROSS BLUE SHIELD
ILL28989Medicare PIN
IL1615858OtherBLUE CROSS BLUE SHIELD
IL036045862 02Medicaid
ILK34991Medicare PIN