Provider Demographics
NPI:1972599462
Name:OSTIR, FRANK J (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:OSTIR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 ESSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-4912
Mailing Address - Country:US
Mailing Address - Phone:815-729-2022
Mailing Address - Fax:815-729-4387
Practice Address - Street 1:742 ESSINGTON RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-4912
Practice Address - Country:US
Practice Address - Phone:815-729-2022
Practice Address - Fax:815-729-4387
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2012-08-29
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
IL038-006593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09982041OtherBLUE CROSS BLUE SHIELD #
IL3398157OtherCIGNA PROVIDER #
IL09982041OtherBLUE CROSS BLUE SHIELD #
ILT81705Medicare UPIN