Ideran, Patricia W

Ideran, Patricia W is an individual health care provider with primary practice located at 5201 Walnut Avenue Ste 4, Downers Grove IL 60515-4025. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ideran, Patricia W can be contacted via phone (630) 964-4707.

Contact Information

Primary practice address
5201 Walnut Avenue Ste 4 Downers Grove IL 60515-4025
Phone: (630) 964-4707
Fax: (630) 964-4797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X Illinois

Profile Details

NPI number 1649322660
LBN Legal business name Ideran, Patricia W
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 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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