Healthcare Provider Details

I. General information

NPI: 1982631602
Provider Name (Legal Business Name): FRANCES EUGENIA NORLOCK D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 W HARRISON ST
CHICAGO IL
60612-3714
US

IV. Provider business mailing address

AUSTIN HEALTH CENTER OF COOK COUNTY 4800 W. CHICAGO AVENUE
CHICAGO IL
60651
US

V. Phone/Fax

Practice location:
  • Phone: 312-864-4461
  • Fax: 312-864-9591
Mailing address:
  • Phone: 773-826-9600
  • Fax: 773-826-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036-097866
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: