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NPI Code Detail

MEDICARE: FRANCISCAN HEALTH DYER & HAMMOND

MEDICARE: FRANCISCAN HEALTH DYER & HAMMOND
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
1251E00000XHome Health Agency1010198IL

General Provider Information

NPI Number : 1831194182
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANCISCAN HEALTH DYER & HAMMOND
Provider Business Mailing Address
First Line : 3224 RIDGE RD
Second Line : STE 202&203
City : LANSING
State : IL
Zip : 60438-3129
Country : US
Telephone Number : 708-418-5543
Fax Number : 708-418-8005
Provider Business Practice Location Address
First Line : 3224 RIDGE RD
Second Line : STE 202&203
City : LANSING
State : IL
Zip : 60438-3129
Country : US
Telephone Number : 708-418-5543
Fax Number : 708-418-8005
Authorized Official
Title or Position : CFO
Name : MR. JOSEPH M GOLAN
Credential :
Telephone Number : 219-932-2300
Provider Enumeration Date : 06/14/2005
Last Update Date : 11/25/2016

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Directions to “FRANCISCAN HEALTH DYER & HAMMOND ” Practice Location

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