Organization Active NPI

Kelley Frank DPM, PC

  • Foot Surgery Podiatrist
  • Elk Grove Village, IL
National Provider Identifier
1760627426
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
KELLEY FRANK DPM, PC
Practice address
800 Biesterfield Rd
Suite 406
Elk Grove Village, IL 60007-3361
Phone
(847) 258-5524
Fax
(847) 979-8076
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Kelley Ann Frank, DPM
Title
President
Phone
(847) 691-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

800 Biesterfield Rd
Suite 406
Elk Grove Village, IL 60007-3361

Mailing address

PO Box 871
Arlington Heights, IL 60006-0871
Phone (847) 956-1269

Other identifiers 2

IdentifierTypeStateIssuer
60001714OtherILBLUE CROSS/ BLUE SHIELD
P00000748OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

800 Biesterfield Rd
Ste 406
Elk Grove Village, IL 60007
Phone (847) 258-5524

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1760627426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600060871",
            "telephone_number": "847-956-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 406",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-258-5524",
            "fax_number": "847-979-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY FRANK DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-691-5411",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "60001714",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00000748",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.