Provider Demographics
NPI:1972524510
Name:LEUNG, FRANK K (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:K
Last Name:LEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2504 WASHINGTON STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085
Mailing Address - Country:US
Mailing Address - Phone:847-623-7590
Mailing Address - Fax:847-623-7591
Practice Address - Street 1:2504 WASHINGTON STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085
Practice Address - Country:US
Practice Address - Phone:847-623-7590
Practice Address - Fax:847-623-7591
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036061041207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036061041Medicaid
21629689OtherBCBS
IL036061041Medicaid
IL676551Medicare ID - Type Unspecified