Patterson, Jill A
Patterson, Jill A is an individual health care provider with primary practice located at 11148 Front St , Mokena IL 60448-1525. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Patterson, Jill A can be contacted via phone (708) 478-5763.Contact Information
Primary practice address
11148 Front St
Mokena IL 60448-1525
Phone: (708) 478-5763
Fax: (708) 478-8763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036084102 | Illinois |
Profile Details
| NPI number | 1083642557 |
|---|---|
| LBN Legal business name | Patterson, Jill A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Dec 20th, 2013 - about 12 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 | 1083642557 | NPPES |
| Illinois | MEDICAID | 036084102 |
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