Provider Demographics
NPI:1871873794
Name:FRANK W ZAPPA,DPM,SC
Entity type:Organization
Organization Name:FRANK W ZAPPA,DPM,SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:312-243-3769
Mailing Address - Street 1:1226 W TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4709
Mailing Address - Country:US
Mailing Address - Phone:312-243-3769
Mailing Address - Fax:312-243-3840
Practice Address - Street 1:1226 W TAYLOR ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4709
Practice Address - Country:US
Practice Address - Phone:312-243-3769
Practice Address - Fax:312-243-3840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016002513213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty