Organization Active NPI

Laura E Loya-Frank M D S C

  • Preferred Provider Organization
  • Melrose Park, IL
National Provider Identifier
1932355245
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
036086943 Issued in IL
Legal business name
LAURA E LOYA-FRANK M D S C
Practice address
1350 W Lake St
Melrose Park, IL 60160-4042
Phone
(708) 343-8512
Fax
(708) 343-8529
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Laura E Loya-Frank, M.D.NPI 1205895380
Title
Doctor
Phone
(708) 343-8512

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
Preferred Provider Organization 305R00000X 036086943 IL Primary

Addresses

Primary practice location

1350 W Lake St
Melrose Park, IL 60160-4042

Mailing address

1350 W Lake St
Melrose Park, IL 60160-4042
Phone (708) 343-8512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050812000350 IL Part B Supplier - Clinic/Group Practice 8426088113 Receives reassigned benefits from 1 practitioner
Practice locations: Melrose Park, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0982939Laura E Loya-Frank MD1350 West Lake Street, Melrose Park, IL 60160Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

154 N 19th Ave
Ste 1
Melrose Park, IL 60160

154 Broadway St
Melrose Park, IL 60160
Phone (708) 343-8512

1350 W Lake St
Ste 1
Melrose Park, IL 60160

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1932355245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604042",
            "telephone_number": "708-343-8512",
            "fax_number": "708-343-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W LAKE ST",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604042",
            "telephone_number": "708-343-8512",
            "fax_number": "708-343-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA E LOYA-FRANK M D S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "LOYA-FRANK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "708-343-8512",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "036086943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.