Provider Demographics
NPI:1881783389
Name:PACHECO, FRANCES J (PSYD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:J
Last Name:PACHECO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:FRANCES
Other - Middle Name:J
Other - Last Name:PACHECO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:1641 N MILWAUKEE AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1350
Mailing Address - Country:US
Mailing Address - Phone:847-362-6919
Mailing Address - Fax:847-247-2220
Practice Address - Street 1:1641 N MILWAUKEE AVE STE 7
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1350
Practice Address - Country:US
Practice Address - Phone:847-362-6919
Practice Address - Fax:847-247-2220
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical