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Organization
FRANCISCAN HEALTH OLYMPIA FIELDS
Active
Organization
FRANCISCAN HEALTH OLYMPIA FIELDS
Active
Other names
Franciscan Durable Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WESSEL (DIVISIONAL CHIEF FINANCIAL OFFICER)
(317) 705-4530
Entity
Organization
Contact information
Practice address
16149 CLINTON ST, HARVEY, IL 60426-5908
(800) 848-2159
(708) 331-3285
Mailing address
16149 CLINTON ST, HARVEY, IL 60426-5908
(800) 848-2159
(708) 331-3285
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
203.000313
IL
332BX2000X
Oxygen Equipment & Supplies (DME)
69000867A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100019640
—
IN
01
—
1632168
BLUE CROSS BLUE SHIELD
IL
01
—
N272573
HARMONY HEALTH
IN
Enumeration date
07/23/2006
Last updated
01/08/2025
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