Healthcare Provider Details

I. General information

NPI: 1992458533
Provider Name (Legal Business Name): ADILENE FRANCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 SKOKIE BLVD
NORTHBROOK IL
60062-4118
US

IV. Provider business mailing address

1135 SKOKIE BLVD
NORTHBROOK IL
60062-4118
US

V. Phone/Fax

Practice location:
  • Phone: 847-441-5600
  • Fax: 224-505-5052
Mailing address:
  • Phone: 847-441-5600
  • Fax: 847-441-7968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: