Frank R Salazar, RCP

Individual provider Active NPI Home Health Certified Respiratory Therapist · Lyons, IL

NPI 1760617336 · NPPES record last updated May 26, 2009

Key facts

NPI
1760617336
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Certified Respiratory Therapist 2278H0200X
License
194.003094 (IL)
Practice address
8553 W Odgen Ave Unit 2
Lyons, IL 60534-1078
Phone
(708) 442-9800
Fax
(708) 442-9889
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
194.003094ILMDHome Health Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Sleep Provider, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Certified Respiratory Therapist 2278H0200X 194.003094 IL Yes

Addresses

Primary practice location

8553 W Odgen Ave Unit 2
Lyons, IL 60534-1078

Mailing address

PO Box 318
Lyons, IL 60534-0318
Phone (708) 442-9800

Other providers in Lyons, IL

All providers in Lyons, IL · Home Health Certified Respiratory Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.