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NPI 1104356039

NPI 1104356039 : MARK FRANCIS MD : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1104356039
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    Entity Type          |    Individual 
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    Provider Name        |    MARK FRANCIS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2017
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    1650 W HARRISON ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612-3800
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    Country              |    US
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    Telephone            |    312-942-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 232410 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92193-2410
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    125071108
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    A175252
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    License Number State |    CA
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