Individual
PATRICIA A FAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
Mailing address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041222633
IL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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