Jose, Patrick

Jose, Patrick is an individual health care provider with primary practice located at 520 S Maple Ave , Oak Park IL 60304-1022. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Jose, Patrick can be contacted via phone (312) 942-6504.

Contact Information

Primary practice address
520 S Maple Ave Oak Park IL 60304-1022
Phone: (312) 942-6504
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN9319858 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209005888 Illinois

Profile Details

NPI number 1932145901
LBN Legal business name Jose, Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Nov 17th, 2021 - about 3 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 1932145901 NPPES
Illinois MEDICAID 209005888

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