Healthcare Provider Details

I. General information

NPI: 1740408962
Provider Name (Legal Business Name): MARY ANN FRANCISCO APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S MARYLAND AVE
CHICAGO IL
60637-1447
US

IV. Provider business mailing address

461 N ELMWOOD AVE
ADDISON IL
60101-2999
US

V. Phone/Fax

Practice location:
  • Phone: 773-702-0293
  • Fax: 773-702-0293
Mailing address:
  • Phone: 630-782-5188
  • Fax: 630-782-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: