Provider Demographics
NPI:1992017610
Name:RATCLIFF, FRANCES SUE (MISA II)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:SUE
Last Name:RATCLIFF
Suffix:
Gender:F
Credentials:MISA II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4314 S. COTTAGE GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:CHGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653
Mailing Address - Country:US
Mailing Address - Phone:312-747-0036
Mailing Address - Fax:312-747-2208
Practice Address - Street 1:4314 S. COTTAGE GROVE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653
Practice Address - Country:US
Practice Address - Phone:312-747-0036
Practice Address - Fax:312-747-2208
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical