MEDICARE: KENNETH FRANCOEUR LSW, CADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1538012315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH FRANCOEUR LSW, CADC

Provider Business Mailing Address
First Line	:	535 W BROMPTON AVE APT 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-6412
Country	:	US
Telephone Number	:	872-217-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 N ASHLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-3601
Country	:	US
Telephone Number	:	872-217-4455
Fax Number	:

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

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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