Provider Demographics
NPI:1952518789
Name:FRANCIS, EULALIE SUSANNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:EULALIE
Middle Name:SUSANNE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 N WELLS ST
Mailing Address - Street 2:STE 400
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-7635
Mailing Address - Country:US
Mailing Address - Phone:312-573-8860
Mailing Address - Fax:312-255-0362
Practice Address - Street 1:1111 N WELLS ST
Practice Address - Street 2:STE 400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7635
Practice Address - Country:US
Practice Address - Phone:312-573-8860
Practice Address - Fax:312-255-0362
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-007191103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical