Axial Frost Clinic Il PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AXIAL FROST CLINIC IL PC

Practice address

25 E Washington St Ste 1615
Chicago, IL 60602-1882

Phone

(615) 345-3555

NPI assigned

Jul 16, 2025

Last updated

Sep 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alice Heywood

Title

Chief Legal Officer

Phone

(615) 231-8560

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Axial Frost Clinic Il, PC

  • Professional Counselor
  • Chicago, IL
  • NPI 1386518876

  O20260330001627

  Same enrollment

Tax ID family

Axial Frost Clinic Il PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Axial Frost Clinic Il PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1396673703
  NPD tax ID
• Axial Frost Clinic Il, PC

  • Professional Counselor
  • Chicago, IL
  • NPI 1386518876
  NPD tax ID

Locations

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1851283691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE S STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034166",
            "telephone_number": "615-345-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1615",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021882",
            "telephone_number": "615-345-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIAL FROST CLINIC IL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "HEYWOOD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-231-8560"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan J Axelrod, M.D.
• Elizabeth Axelrod
• Jennifer Axelrod, CCC-SLP
• Axess Clinic and Diagnostics LLC
• Axial Frost Clinic Il PC
• Axial Frost Clinic Il, PC
• Axial Spine & Wellness, LLC
• Axion Medical Group
• Axios Medical Equipment, Inc (Wound Care Solutions Inc)
• Axios Medical Equipment, Inc (Homescript Pharmacy SVCS)

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.