Provider Demographics
NPI:1134208739
Name:FRANCISCAN HEALTH OLYMPIA FIELDS
Entity type:Organization
Organization Name:FRANCISCAN HEALTH OLYMPIA FIELDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-855-7401
Mailing Address - Street 1:20201 CRAWFORD AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1010
Mailing Address - Country:US
Mailing Address - Phone:708-747-7283
Mailing Address - Fax:708-503-2372
Practice Address - Street 1:20201 CRAWFORD AVE FL 1
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1010
Practice Address - Country:US
Practice Address - Phone:708-747-7283
Practice Address - Fax:708-503-2372
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN HEALTH OLYMPIA FIELDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-03
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL362167869009Medicaid
IL=========009Medicaid