Organization Active NPI

J I Frank, MD, SC

  • Neurology Physician
  • Buffalo Grove, IL
National Provider Identifier
1790213338
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036075689 Issued in IL
Legal business name
J I FRANK, MD, SC
Practice address
355 W Dundee Rd Ste 110
Buffalo Grove, IL 60089-3500
Phone
(773) 612-8399
Fax
(847) 520-0500
NPI assigned
May 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Jeffrey Isidore Frank, MDNPI 1477604452
Title
President
Phone
(773) 612-8399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 036075689 IL Primary

Addresses

Primary practice location

355 W Dundee Rd Ste 110
Buffalo Grove, IL 60089-3500

Mailing address

355 W Dundee Rd Ste 110
Buffalo Grove, IL 60089-3500
Phone (773) 612-8399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170619000465 IL Part B Supplier - Clinic/Group Practice 5597033480 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo Grove, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1790213338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W DUNDEE RD STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893500",
            "telephone_number": "773-612-8399",
            "fax_number": "847-520-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W DUNDEE RD STE 110",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893500",
            "telephone_number": "773-612-8399",
            "fax_number": "847-520-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J I FRANK, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ISIDORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-612-8399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036075689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.