Provider Demographics
NPI:1245701515
Name:ASHLEY FRANK
Entity type:Organization
Organization Name:ASHLEY FRANK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NUTRITION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:312-569-6911
Mailing Address - Street 1:3600 N LAKE SHORE DR
Mailing Address - Street 2:#309
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613
Mailing Address - Country:US
Mailing Address - Phone:786-261-6445
Mailing Address - Fax:
Practice Address - Street 1:820 S. DAMEN AVE (#120)
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3728
Practice Address - Country:US
Practice Address - Phone:312-569-8170
Practice Address - Fax:312-569-6118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JESSE BROWN VAMC (VETERANS AFFAIRS MEDICAL CENTER)
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty