MEDICARE: MRS. ELIZABETH FRANCZYK MD

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	174400000X	Specialist	036070422	IL
2	208000000X	Pediatrics Physician	036070422	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0006100115	OTHER	IL	BLUE CROSS/BLUE SHILED
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780681700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH FRANCZYK MD

Provider Business Mailing Address
First Line	:	1050 M L KING DR
Second Line	:	SUITE 102
City	:	CENTRALIA
State	:	IL
Zip	:	62801-3060
Country	:	US
Telephone Number	:	618-532-6222
Fax Number	:	618-532-6246

Provider Business Practice Location Address
First Line	:	1050 M L KING DR
Second Line	:	SUITE 102
City	:	CENTRALIA
State	:	IL
Zip	:	62801-3060
Country	:	US
Telephone Number	:	618-532-6222
Fax Number	:	618-532-6246

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	05/21/2019

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Directions to “ MRS. ELIZABETH FRANCZYK MD” Practice Location

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