Individual
PATRICIA LYNN IHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., CIMI
Contact information
Practice address
706 S 3RD ST, DEKALB, IL 60115-4126
(815) 748-7516
(815) 787-7053
Mailing address
706 S 3RD ST, DEKALB, IL 60115-4126
(815) 748-7516
(815) 787-7053
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PI64691100P
IL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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