Provider Demographics
NPI:1730391897
Name:YORK ROAD SURGICAL FACILITY
Entity type:Organization
Organization Name:YORK ROAD SURGICAL FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:P
Authorized Official - Last Name:FRANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:630-279-6565
Mailing Address - Street 1:277 N YORK ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2726
Mailing Address - Country:US
Mailing Address - Phone:630-279-6565
Mailing Address - Fax:630-279-6568
Practice Address - Street 1:277 N YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2726
Practice Address - Country:US
Practice Address - Phone:630-279-6565
Practice Address - Fax:630-279-6568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty