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Organization
JILL A. PATTERSON, MD SC
Active
Organization
JILL A. PATTERSON, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL A. PATTERSON MD (PRESIDENT)
(708) 478-5763
Entity
Organization
Contact information
Practice address
11148 FRONT ST, MOKENA, IL 60448-1525
(708) 478-5763
(708) 478-8763
Mailing address
11148 FRONT ST, MOKENA, IL 60448-1525
(708) 478-5763
(708) 478-8763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036084102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084102
—
IL
01
—
1083642557
INDIVIDUAL NPI
IL
01
—
40755
MEDICARE GROUP PTAN
IL
Enumeration date
10/18/2010
Last updated
10/20/2010
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