Provider Demographics
NPI:1437379435
Name:LICHON, FRANCIS S (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:S
Last Name:LICHON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MARTIN AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6538
Mailing Address - Country:US
Mailing Address - Phone:630-961-2810
Mailing Address - Fax:630-961-2658
Practice Address - Street 1:10 MARTIN AVE STE 140
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6538
Practice Address - Country:US
Practice Address - Phone:630-961-2810
Practice Address - Fax:630-961-2658
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036059595207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC45783Medicare UPIN
ILK37460Medicare ID - Type Unspecified