# TYRAFRANKLIN FRANKLIN ACCOUNT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497124911
- **Authorized official:** TYRA FRANKLIN APN-BC (APN)
- **Authorized official phone:** (708) 774-6255

## Contact information

- **Practice address:** 2357 W CONGRESS PKWY, UNIT 3, CHICAGO, IL 60612-3685
- **Practice address phone:** (312) 590-1601
- **Practice address fax:** (312) 224-0023
- **Mailing address:** 513 WALLACE ST, CHICAGO HEIGHTS, IL 60411-1234
- **Mailing address phone:** (708) 774-6255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 209.013093 | IL | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 09/15/2015