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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