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General NPI Number Information
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NPI Number | 1710252929
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Entity Type | Individual
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Provider Name | DAVID J. FRANCIS D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 4646 N MARINE DR ATTN: EMERGENCY DEPARTMENT
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City | CHICAGO
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State | IL
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Zip | 60640-5759
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Country | US
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Telephone | 773-564-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 S INDIANA AVE APT 407
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City | CHICAGO
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State | IL
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Zip | 60605-4822
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Country | US
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Telephone | 630-404-0573
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036140868
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 02005372A
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License Number State | IN
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