Healthcare Provider Details

I. General information

NPI: 1467494054
Provider Name (Legal Business Name): SAINT FRANCIS HOSPITAL - EVANSTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 AUSTIN ST STE 101
EVANSTON IL
60202-3450
US

IV. Provider business mailing address

800 AUSTIN ST STE 101W
EVANSTON IL
60202-3450
US

V. Phone/Fax

Practice location:
  • Phone: 847-316-2372
  • Fax: 847-316-4519
Mailing address:
  • Phone: 847-316-2372
  • Fax: 847-316-4519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054.019886
License Number StateIL

VIII. Authorized Official

Name: CHRISTOPHER DOAN
Title or Position: MANAGING ASSOCIATE GENERAL COUNSEL
Credential:
Phone: 909-235-4307