Individual
PATRICK JOSEPH FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 MANCHESTER RD STE 1510, WHEATON, IL 60187-4561
(630) 653-1717
(630) 653-7926
Mailing address
202 S WILLISTON ST, WHEATON, IL 60187-5914
(630) 903-9535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.014822
IL
Other
Enumeration date
09/08/2022
Last updated
09/09/2022
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