Provider Demographics
NPI:1992796403
Name:MARKETT, FRANK JOHN (MA,ATC,CSCS)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JOHN
Last Name:MARKETT
Suffix:
Gender:M
Credentials:MA,ATC,CSCS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:14832 S WOODCREST AVE
Mailing Address - Street 2:
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-8322
Mailing Address - Country:US
Mailing Address - Phone:630-989-1263
Mailing Address - Fax:630-655-2759
Practice Address - Street 1:1275 N CONVENT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-8210
Practice Address - Country:US
Practice Address - Phone:815-936-1855
Practice Address - Fax:815-936-6097
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer