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NPI Code Detail

MEDICARE: DR. EULALIE SUSANNE FRANCIS PSY.D.

MEDICARE: DR. EULALIE SUSANNE FRANCIS PSY.D.
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
1103TC0700XClinical Psychologist071-007191IL

General Provider Information

NPI Number : 1952518789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EULALIE SUSANNE FRANCIS PSY.D.
Provider Business Mailing Address
First Line : 1111 N WELLS ST
Second Line : STE 400
City : CHICAGO
State : IL
Zip : 60610-7635
Country : US
Telephone Number : 312-573-8860
Fax Number : 312-255-0362
Provider Business Practice Location Address
First Line : 1111 N WELLS ST
Second Line : STE 400
City : CHICAGO
State : IL
Zip : 60610-7635
Country : US
Telephone Number : 312-573-8860
Fax Number : 312-255-0362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 02/10/2014

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