Provider Demographics
NPI:1851349872
Name:FRANKEL, RHODA R
Entity Type:Individual
Prefix:MRS
First Name:RHODA
Middle Name:R
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 LAKE SHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-1433
Mailing Address - Country:US
Mailing Address - Phone:847-864-7155
Mailing Address - Fax:312-996-4358
Practice Address - Street 1:1036 LAKE SHORE BLVD
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-1433
Practice Address - Country:US
Practice Address - Phone:847-864-7155
Practice Address - Fax:312-996-4358
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1634279OtherBCBS
IL623190Medicare ID - Type Unspecified