Healthcare Provider Details

I. General information

NPI: 1376474536
Provider Name (Legal Business Name): FRANCHON GREENFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7414 S PRAIRIE AVE APT 1
CHICAGO IL
60619-2133
US

IV. Provider business mailing address

7414 S PRAIRIE AVE APT 1
CHICAGO IL
60619-2133
US

V. Phone/Fax

Practice location:
  • Phone: 773-766-8112
  • Fax:
Mailing address:
  • Phone: 773-766-8112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: