Constantine T Frantzides, MD, PHD, FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036096738 Issued in IL

Practice address

4905 Old Orchard Shopping Ctr
Suite 409
Skokie, IL 60077-1425

Phone

(847) 676-2200

Fax

(847) 676-1813

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 19, 2016 through Apr 19, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cimis Fellowship

  • Surgery Physician
  • Skokie, IL
  • NPI 1194968164
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1033286661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "address_2": "SUITE 409",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771458",
            "telephone_number": "847-676-2200",
            "fax_number": "847-676-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD SHOPPING CTR",
            "address_2": "SUITE 409",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "847-676-2200",
            "fax_number": "847-676-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANTZIDES",
        "first_name": "CONSTANTINE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036096738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliza Fox, MHS, CCC-SLP
• Cassandra Fox, RN
• Lisa Gay Fox, MSW, LCSW
• Inbal Fraiman, MA, OTR/L
• Hinda Devorah Frank, OTR/L
• Jose Frau
• Nora Frazin, LCSW
• Free Bird Psychological Services
• Freedman RPM Medical SC
• Louis Israel Freeman, D.D.S.

• Surgery Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.