MEDICARE: DR. JOHN K FRANCIS DDS

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	1223P0300X	Periodontics	019013346	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	019013346	OTHER	IL	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1942415955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN K FRANCIS DDS

Provider Business Mailing Address
First Line	:	1315 MACOM DR
Second Line	:	SUITE 106
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-9360
Country	:	US
Telephone Number	:	630-701-2347
Fax Number	:	630-929-8540

Provider Business Practice Location Address
First Line	:	1315 MACOM DR
Second Line	:	SUITE 106
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-9360
Country	:	US
Telephone Number	:	630-701-2347
Fax Number	:	630-929-8540

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

Provider Enumeration Date	:	05/12/2007
Last Update Date	:	11/22/2016

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