Provider Demographics
NPI:1750336145
Name:ADUBATO, FRANK (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:ADUBATO
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 1:1625 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:IL
Mailing Address - Zip Code:62656-1169
Mailing Address - Country:US
Mailing Address - Phone:217-732-1111
Mailing Address - Fax:217-735-2744
Practice Address - Street 1:1625 N UNION ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:IL
Practice Address - Zip Code:62656-1169
Practice Address - Country:US
Practice Address - Phone:217-732-1111
Practice Address - Fax:217-735-2744
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-007886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL309119OtherHEALTHLINK
IL05207367OtherBLUE CROSS BLUE SHIELD
IL38007886Medicaid
IL05207367OtherBLUE CROSS BLUE SHIELD