Individual
NATALIE PATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5111 N GLEN PARK PLACE RD, PEORIA, IL 61614-4675
(309) 683-5700
Mailing address
5111 N GLEN PARK PLACE RD, PEORIA, IL 61614-4675
(309) 683-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
385.007538
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/06/2022
Last updated
12/05/2023
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