Provider Demographics
NPI:1235516030
Name:FRANCISCO, DENISE MARIE ARAYATA (MD)
Entity Type:Individual
Prefix:MS
First Name:DENISE MARIE
Middle Name:ARAYATA
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 NE GLEN OAK AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61637-4000
Mailing Address - Country:US
Mailing Address - Phone:309-624-8887
Mailing Address - Fax:309-624-2667
Practice Address - Street 1:530 NE GLEN OAK AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-4000
Practice Address - Country:US
Practice Address - Phone:309-624-8887
Practice Address - Fax:309-624-2667
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2021-11-16
Deactivation Date:2015-12-08
Deactivation Code:
Reactivation Date:2016-01-15
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program