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NPI Code Detail

MEDICARE: LISA FRANCIS

MEDICARE: LISA FRANCIS
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
11041C0700XClinical Social Worker149.012385IL

General Provider Information

NPI Number : 1972955862
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA FRANCIS
Provider Business Mailing Address
First Line : 1800 N HERMITAGE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1161
Country : US
Telephone Number : 312-655-7093
Fax Number :
Provider Business Practice Location Address
First Line : 1800 N HERMITAGE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1161
Country : US
Telephone Number : 312-655-7093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2016
Last Update Date : 07/05/2016

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Directions to “ LISA FRANCIS ” Practice Location

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