Provider Demographics
NPI:1316249527
Name:CHRISTOPHER D. FRAME, LLC
Entity type:Organization
Organization Name:CHRISTOPHER D. FRAME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRAME
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:312-636-1572
Mailing Address - Street 1:7310 W NORTH AVE
Mailing Address - Street 2:2H
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-4252
Mailing Address - Country:US
Mailing Address - Phone:708-456-3232
Mailing Address - Fax:708-456-3371
Practice Address - Street 1:7310 W NORTH AVE
Practice Address - Street 2:2H
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707-4252
Practice Address - Country:US
Practice Address - Phone:708-456-3232
Practice Address - Fax:708-456-3371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL4446Medicare PIN