Individual
PATRICK J SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19110 DARVIN DR, STE C, MOKENA, IL 60448-8595
(708) 390-2290
(708) 390-2299
Mailing address
19110 DARVIN DR, STE C, MOKENA, IL 60448-8595
(708) 390-2290
(708) 390-2299
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
01042908A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036 085125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220974
ANTHEM
IN
01
—
01632167
BCBS
IL
05
—
036085125
—
IL
01
—
20004327 CK7919
RR MEDICARE
IN
05
—
200167380
—
IN
01
—
DO9194
RR MEDICARE
IL
01
—
P00217417-CK5647
RR MEDICARE
IL
Enumeration date
11/30/2005
Last updated
03/19/2010
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