Provider Demographics
NPI:1083109045
Name:FRANCIS, EMILY ALYSSA
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ALYSSA
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8146 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8675
Mailing Address - Country:US
Mailing Address - Phone:708-655-1402
Mailing Address - Fax:
Practice Address - Street 1:8146 OLD MILL RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-8675
Practice Address - Country:US
Practice Address - Phone:708-655-1402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-22
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.014916235Z00000X
IL146014916235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist