Provider Demographics
NPI:1457406480
Name:FRANCIS S LICHON MD SC
Entity Type:Organization
Organization Name:FRANCIS S LICHON MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:LICHON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-462-7676
Mailing Address - Street 1:511 THORNHILL DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188
Mailing Address - Country:US
Mailing Address - Phone:630-462-7676
Mailing Address - Fax:630-462-7678
Practice Address - Street 1:511 THORNHILL DR
Practice Address - Street 2:SUITE C
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188
Practice Address - Country:US
Practice Address - Phone:630-462-7676
Practice Address - Fax:630-462-7678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036059595207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL699140Medicare ID - Type Unspecified