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General NPI Number Information
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NPI Number | 1730127192
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Entity Type | Organization
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Legal Business Name | FRANCISCAN COMMUNITIES, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 1251 E RICHTON RD
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City | CRETE
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State | IL
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Zip | 60417-1623
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Country | US
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Telephone | 708-672-6700
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Fax | 708-672-4939
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Provider Business Mailing Address
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Address Line | 1055 175TH ST SUITE 202
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City | HOMEWOOD
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State | IL
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Zip | 60430-4610
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Country | US
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Telephone | 708-647-6500
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Fax | 708-647-6982
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Authorized Official
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Title or Position | SR. VP/CHIEF FINANCIAL OFFICER
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Name | MR. ROBERT W ZIMMER
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Credential |
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Telephone | 708-647-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 510096
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 0045435
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License Number State | IL
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