Individual provider Active NPI

Gerald Allen Frank, MD

  • Internal Medicine Physician
  • Gurnee, IL
National Provider Identifier
1912043787
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
03643275 Issued in IL
Practice address
15 Tower CT Ste 265
Gurnee, IL 60031-3340
Phone
(847) 623-8818
Fax
(847) 625-8059
NPI assigned
Jan 29, 2007
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 03643275 IL Primary

Addresses

Primary practice location

15 Tower CT Ste 265
Gurnee, IL 60031-3340

Mailing address

15 Tower CT Ste 265
Gurnee, IL 60031-3340
Phone (847) 623-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000138 IL Practitioner - Internal Medicine 1951325430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
03643275ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Apr 1, 2022 Accepting new patients
Waukegan Clinic Corp Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients

Locations

15 Tower Ct
Ste 255
Gurnee, IL 60031
Phone (847) 623-8818

15 Tower Ct
Ste 265
Gurnee, IL 60031
Phone (847) 360-9800

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1912043787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 265",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313340",
            "telephone_number": "847-623-8818",
            "fax_number": "847-625-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 265",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313340",
            "telephone_number": "847-623-8818",
            "fax_number": "847-625-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "GERALD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "03643275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.