Lynch, Patricia Azzarelli

Lynch, Patricia Azzarelli is an individual health care provider with primary practice located at 375 N Wall St Ste P410, Kankakee IL 60901-3483. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lynch, Patricia Azzarelli can be contacted via phone (815) 932-7474.

Contact Information

Primary practice address
375 N Wall St Ste P410 Kankakee IL 60901-3483
Fax: (815) 937-8206
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 309001044 Illinois

Profile Details

NPI number 1104811660
LBN Legal business name Lynch, Patricia Azzarelli
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated May 22nd, 2008 - about 16 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 1104811660 NPPES
Illinois Other 309001044 NP LICENSE NUMBER

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