Provider Demographics
NPI:1841543931
Name:FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTS
Entity type:Organization
Organization Name:FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIVISIONAL CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:WESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-705-4530
Mailing Address - Street 1:16149 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:IL
Mailing Address - Zip Code:60426-5908
Mailing Address - Country:US
Mailing Address - Phone:800-848-2159
Mailing Address - Fax:708-331-3285
Practice Address - Street 1:3900 W 203RD ST
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1183
Practice Address - Country:US
Practice Address - Phone:708-679-2000
Practice Address - Fax:708-331-3285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203.001506332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies