Healthcare Provider Details

I. General information

NPI: 1164101200
Provider Name (Legal Business Name): FRANCESCO SECHI OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1548 E 55TH ST
CHICAGO IL
60615-5550
US

IV. Provider business mailing address

865 N MARSHFIELD AVE APT 1
CHICAGO IL
60622-0282
US

V. Phone/Fax

Practice location:
  • Phone: 773-667-0024
  • Fax:
Mailing address:
  • Phone: 801-317-3096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0003932
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046.011846
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: