Individual
DR. PATRICK MICHAEL DIFFERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N HIGHLAND AVE STE 1, AURORA, IL 60506-1481
(630) 897-5104
(630) 897-5089
Mailing address
20508 HELLENIC DR, OLYMPIA FIELDS, IL 60461-1424
(708) 209-8931
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.158568
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2017
Last updated
02/20/2024
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