Organization
PATRICIA M EGAN PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN TOWNSEND (OFFICE MANAGER)
(815) 235-2353
Entity
Organization
Contact information
Practice address
1011 LORAS DR STE C, FREEPORT, IL 61032-6900
(815) 297-8400
(815) 235-7741
Mailing address
1011 LORAS DR STE C, FREEPORT, IL 61032-6900
(815) 297-8400
(815) 235-7741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007492
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0492223
BLUE CROSS BLUE SHIELD OF IL
IL
01
—
600542543
MAGELLAN
IL
Enumeration date
03/26/2009
Last updated
03/26/2009
Update your record
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