Andrise, Patricia Jewell

Andrise, Patricia Jewell is an individual health care provider with primary practice located at 333 Chestnut St Suite 206, Hinsdale IL 60521-3247. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Andrise, Patricia Jewell can be contacted via phone (630) 850-9650.

Contact Information

Primary practice address
333 Chestnut St Suite 206 Hinsdale IL 60521-3247
Phone: (630) 850-9650
Fax: (630) 850-9607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X Illinois

Profile Details

NPI number 1669455408
LBN Legal business name Andrise, Patricia Jewell
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Nov 23rd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669455408 NPPES
Illinois Other 2205358 BCBS

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