Provider Demographics
NPI:1861210577
Name:FRANTZ, TODD LAWSON
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:LAWSON
Last Name:FRANTZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 S VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7184
Mailing Address - Country:US
Mailing Address - Phone:773-875-0465
Mailing Address - Fax:
Practice Address - Street 1:865 S VALLEY LN
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-7184
Practice Address - Country:US
Practice Address - Phone:773-875-0465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician