Provider Demographics
NPI:1295723971
Name:RALPH G FRANK DO PC
Entity type:Organization
Organization Name:RALPH G FRANK DO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:847-856-1600
Mailing Address - Street 1:1425 N HUNT CLUB RD
Mailing Address - Street 2:#101
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-2632
Mailing Address - Country:US
Mailing Address - Phone:847-856-1600
Mailing Address - Fax:847-856-1616
Practice Address - Street 1:1425 N HUNT CLUB RD
Practice Address - Street 2:#101
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-2632
Practice Address - Country:US
Practice Address - Phone:847-856-1600
Practice Address - Fax:847-856-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G56481Medicare UPIN
K16468Medicare ID - Type Unspecified