Individual provider Active NPI

David J. Francis, D.O.

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1710252929
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036140868 Issued in IL
Practice address
4646 N Marine Dr
Attn: Emergency Department
Chicago, IL 60640-5759
Phone
(773) 564-7500
NPI assigned
Mar 21, 2012
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036140868 IL Primary
Emergency Medicine Physician 207P00000X 02005372A IN

Addresses

Primary practice location

4646 N Marine Dr
Attn: Emergency Department
Chicago, IL 60640-5759

Mailing address

1550 S Indiana Ave Apt 407
Chicago, IL 60605-4822
Phone (630) 404-0573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516002187 IN Practitioner - Emergency Medicine 5496049645 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02005372AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Apr 20, 2018 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Jan 5, 2023 Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1710252929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S INDIANA AVE APT 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606054822",
            "telephone_number": "630-404-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "address_2": "ATTN: EMERGENCY DEPARTMENT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "DAVID",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036140868",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02005372A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.