Provider Demographics
NPI:1255410809
Name:ST. FRANCIS HEALTH CARE, LTD
Entity type:Organization
Organization Name:ST. FRANCIS HEALTH CARE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:847-410-0480
Mailing Address - Street 1:6677 N LINCOLN AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-3634
Mailing Address - Country:US
Mailing Address - Phone:847-410-0480
Mailing Address - Fax:847-410-0487
Practice Address - Street 1:6677 N LINCOLN AVE STE 310
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-3634
Practice Address - Country:US
Practice Address - Phone:847-410-0480
Practice Address - Fax:847-410-0487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization