Individual
MAYRA PATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1800 N HERMITAGE AVE, CHICAGO, IL 60622-1161
(312) 948-6539
(312) 382-1612
Mailing address
1800 N HERMITAGE AVE, CHICAGO, IL 60622-1161
(312) 948-6539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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