Provider Demographics
NPI:1649269556
Name:FRANK, NOEL G (DPM)
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:G
Last Name:FRANK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2515
Mailing Address - Country:US
Mailing Address - Phone:708-425-4950
Mailing Address - Fax:708-425-0109
Practice Address - Street 1:4701 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2515
Practice Address - Country:US
Practice Address - Phone:708-425-4950
Practice Address - Fax:708-425-0109
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T37354Medicare UPIN
634741Medicare ID - Type Unspecified