Provider Demographics
NPI:1760617336
Name:SALAZAR, FRANK R (RCP)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:R
Last Name:SALAZAR
Suffix:
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 318
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:IL
Mailing Address - Zip Code:60534-0318
Mailing Address - Country:US
Mailing Address - Phone:708-442-9800
Mailing Address - Fax:708-442-9889
Practice Address - Street 1:8553 W ODGEN AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:IL
Practice Address - Zip Code:60534-1078
Practice Address - Country:US
Practice Address - Phone:708-442-9800
Practice Address - Fax:708-442-9889
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL194.0030942278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health