Provider Demographics
NPI:1770300311
Name:ALDRICH-FRENCH, JANICE
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:ALDRICH-FRENCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 LINCOLN PL
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-6228
Mailing Address - Country:US
Mailing Address - Phone:312-428-0875
Mailing Address - Fax:
Practice Address - Street 1:1529 LINCOLN PL
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-6228
Practice Address - Country:US
Practice Address - Phone:312-428-0875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X, 342000000X
ILA436-4336-7722172A00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No342000000XTransportation ServicesTransportation Network Company