Provider Demographics
NPI:1427127844
Name:STRULOVITCH, FRANCES C (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:C
Last Name:STRULOVITCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 N HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-1912
Mailing Address - Country:US
Mailing Address - Phone:773-290-2380
Mailing Address - Fax:
Practice Address - Street 1:6721 40TH ST
Practice Address - Street 2:
Practice Address - City:STICKNEY
Practice Address - State:IL
Practice Address - Zip Code:60402-4174
Practice Address - Country:US
Practice Address - Phone:708-788-9100
Practice Address - Fax:708-788-0441
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036076185171W00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171W00000XOther Service ProvidersContractor