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Individual

PATRICK J SWEENEY

Active
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Individual

PATRICK J SWEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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