Provider Demographics
NPI:1801063649
Name:FRANCIS FAMILY CHIROPRACTIC LTD
Entity type:Organization
Organization Name:FRANCIS FAMILY CHIROPRACTIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-623-8214
Mailing Address - Street 1:5724B ELEVATOR RD
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-8878
Mailing Address - Country:US
Mailing Address - Phone:815-623-8214
Mailing Address - Fax:815-623-5485
Practice Address - Street 1:5724B ELEVATOR RD
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-8878
Practice Address - Country:US
Practice Address - Phone:815-623-8214
Practice Address - Fax:815-623-5485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL10132196OtherBCBS
IL213155Medicare PIN