Provider Demographics
NPI:1124380233
Name:OJEDA, FRANCISCO J
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:OJEDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 W 8TH ST
Mailing Address - Street 2:APT 206
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-6992
Mailing Address - Country:US
Mailing Address - Phone:847-436-6403
Mailing Address - Fax:
Practice Address - Street 1:3040 W 8TH ST
Practice Address - Street 2:APT 206
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-6992
Practice Address - Country:US
Practice Address - Phone:847-436-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL023025088164171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter