Organization Name: | FRANKLIN PARK MEDICAL CENTER, PC |
NPI Number: | 1225167687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TODD S. SCOTT (OWNER) |
Mailing Address: | 10009 Grand Ave Ste A Franklin Park |
State: | IL US |
Postal Code: | 601312573 |
Phone Number: | 8474551577 |
Fax Number: | 8474553270 |
NPI Enumeration Date: | 03/03/2007 |
NPI Last Update Date: | 03/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 016004370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |