Healthcare Provider Details

I. General information

NPI: 1134208739
Provider Name (Legal Business Name): FRANCISCAN HEALTH OLYMPIA FIELDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 CRAWFORD AVE FL 1
OLYMPIA FIELDS IL
60461-1010
US

IV. Provider business mailing address

20201 CRAWFORD AVE FL 1
OLYMPIA FIELDS IL
60461-1010
US

V. Phone/Fax

Practice location:
  • Phone: 708-747-7283
  • Fax: 708-503-2372
Mailing address:
  • Phone: 708-747-7283
  • Fax: 708-503-2372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FRANK J MCHUGH
Title or Position: CFO
Credential:
Phone: 708-855-7401