MEDICARE: CELEZTE FRANCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209007792	IL

General Provider Information

NPI Number	:	1083940555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELEZTE FRANCO

Provider Business Mailing Address
First Line	:	7831 KILBOURN AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-3511
Country	:	US
Telephone Number	:	773-655-2298
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 W PETERSON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4277
Country	:	US
Telephone Number	:	773-761-3006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2009
Last Update Date	:	04/20/2016

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Directions to “ CELEZTE FRANCO ” Practice Location

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