Healthcare Provider Details

I. General information

NPI: 1184958993
Provider Name (Legal Business Name): FRANCES MARIE FLYNN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2009
Last Update Date: 09/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14558 CREEKVIEW DR
ORLAND PARK IL
60467-7154
US

IV. Provider business mailing address

14558 CREEKVIEW DR
ORLAND PARK IL
60467-7154
US

V. Phone/Fax

Practice location:
  • Phone: 708-873-9585
  • Fax:
Mailing address:
  • Phone: 708-873-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.193208
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number041.193208
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: