NPIMap

Organization Active NPI

Frankfort Medical Clinic Inc

  • Internal Medicine Physician
  • Frankfort, IL
National Provider Identifier
1659564292
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36099650 Issued in IL
Legal business name
FRANKFORT MEDICAL CLINIC INC
Practice address
10181 W Lincoln Hwy
Frankfort, IL 60423-1274
Phone
(815) 464-7212
Fax
(815) 464-7251
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Mrs. Sheri Oliver
Title
Office Manager
Phone
(708) 756-3037

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 36099650 IL Primary
Clinic/Center 261Q00000X 036099650 IL

Addresses

Primary practice location

10181 W Lincoln Hwy
Frankfort, IL 60423-1274

Mailing address

1480 Momentum PL
Chicago, IL 60689-5314
Phone (815) 464-7212

Other identifiers 2

IdentifierTypeStateIssuer
1633069OtherILBLUE CROSS BLUE SHIELD
036099650MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050111000275 IL Part B Supplier - Clinic/Group Practice 2163470766 Receives reassigned benefits from 5 practitioners
Practice locations: Frankfort, IL; Steger, IL

National Provider Directory

National Provider Directory
Tax ID family
Khaja Asadullah MD SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1659564292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895314",
            "telephone_number": "815-464-7212",
            "fax_number": "815-277-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10181 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231274",
            "telephone_number": "815-464-7212",
            "fax_number": "815-464-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKFORT MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-756-3037",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36099650",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036099650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1633069",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099650",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.