Frost Medical Services,
Clinic/Center, Health Services in Chicago, IL. Organization (NPI-2).
NPI number1144972829
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1144972829
- Entity type
- Organization (NPI-2)
- Legal business name
- Frost Medical Services,
- Organization subpart
- No
- Enumeration date
- Jan 24, 2022
- Certification date
- Jan 21, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
925 S Loomis StChicago, IL 60607-4011
Phone 312-952-8783
Mailing address
925 S Loomis StChicago, IL 60607-4011
Phone 312-952-8783
Authorized official
Carmine A Mattozzi
Owner
3128483530
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