Provider Demographics
NPI:1780678441
Name:PEARCE, FRANCINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:M
Last Name:PEARCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FRANCINE
Other - Middle Name:M
Other - Last Name:PEARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:35318 EAGLE WAY
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60678-1353
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-8319
Practice Address - Street 1:4511 SAUK TRL
Practice Address - Street 2:
Practice Address - City:RICHTON PARK
Practice Address - State:IL
Practice Address - Zip Code:60471-1167
Practice Address - Country:US
Practice Address - Phone:708-747-6000
Practice Address - Fax:708-747-6003
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-104943208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL47-1236953OtherTAX-ID
IL036104943Medicaid
ILI30653Medicare UPIN
IL036104943Medicaid