Healthcare Provider Details

I. General information

NPI: 1538012315
Provider Name (Legal Business Name): KENNETH FRANCOEUR LSW, CADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 N ASHLAND AVE
CHICAGO IL
60613-3601
US

IV. Provider business mailing address

535 W BROMPTON AVE APT 3S
CHICAGO IL
60657-6412
US

V. Phone/Fax

Practice location:
  • Phone: 872-217-4455
  • Fax:
Mailing address:
  • Phone: 872-217-4455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: