Provider Demographics
NPI:1760427314
Name:ZAPPA, FRANK WILLIAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:WILLIAM
Last Name:ZAPPA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 W TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4709
Mailing Address - Country:US
Mailing Address - Phone:312-243-3769
Mailing Address - Fax:312-243-3840
Practice Address - Street 1:1226 W TAYLOR ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4709
Practice Address - Country:US
Practice Address - Phone:312-243-3769
Practice Address - Fax:312-243-3840
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0060020476OtherBLUE CROSS BLUE SHIELD
IL0672390001Medicare NSC
IL0060020476OtherBLUE CROSS BLUE SHIELD
IL519450Medicare PIN