Brager, Patresa R
Brager, Patresa R is an individual health care provider with primary practice located at 515 Ne Glen Oak Ave , Peoria IL 61637-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brager, Patresa R can be contacted via phone (309) 655-6724.Contact Information
Primary practice address
515 Ne Glen Oak Ave
Peoria IL 61637-0001
Phone: (309) 655-6724
Fax: (309) 655-4408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1043236573 |
|---|---|
| LBN Legal business name | Brager, Patresa R |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043236573 | NPPES |
| Other | 207414 | MEDICARE GROUP NO. |
Popular Providers
-
Mcclure, Lisa L.
8600 N State Route 91 Suite 240, Peoria IL 61615-9541 -
Hudson, Joan Rae
7717 N Orange Prairie Rd , Peoria IL 61615-9323 -
Legan, Leone
5409 N Knoxville Ave Psychological Associates, Peoria IL 61614 -
Weidner, David Christopher
3716 W Brighton Ave , Peoria IL 61615-2938 -
Callahan, Gayle Vincent
6615 N Big Hollow Rd , Peoria IL 61615-2451 -
Velez, Jane
5505 N Fairmont Drive , Peoria IL 61614 -
Day, John Richard
3716 W Brighton Ave , Peoria IL 61615 -
Regan, Theresa M.
530 Ne Glen Oak Ave , Peoria IL 61637-0001