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Organization

ROBERT F PATTE DPM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT F PATTE DPM (OWNER)
(815) 455-3788
Entity
Organization

Contact information

Practice address
460 COVENTRY LANE, STE 103, CRYSTAL LAKE, IL 60014-7561
(815) 455-3788
(815) 455-4657
Mailing address
460 COVENTRY LANE, STE 103, CRYSTAL LAKE, IL 60014-7561
(815) 455-3788
(815) 455-4657

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0060101261
BCBS
IL
Enumeration date
01/12/2006
Last updated
10/12/2007
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