Provider Demographics
NPI:1457340887
Name:SUN, FRANK C (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:C
Last Name:SUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 S GREENLEAF ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3398
Mailing Address - Country:US
Mailing Address - Phone:847-360-7888
Mailing Address - Fax:847-360-8366
Practice Address - Street 1:200 S GREENLEAF ST
Practice Address - Street 2:SUITLE L
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3398
Practice Address - Country:US
Practice Address - Phone:847-360-7888
Practice Address - Fax:847-360-8366
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2010-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036054456207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILLO27700OtherTRI CARE
IL04915358OtherBCBS
IL03654456Medicaid
ILLO27700OtherTRI CARE
ILC44051Medicare UPIN
IL248221Medicare PIN