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Individual

DR. NANETTE MARIE JAMES PATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3700 W 203RD ST, SUITE110, OLYMPIA FIELDS, IL 60461-1180
(708) 679-1890
(708) 747-9859
Mailing address
1890 SILVER CROSS BLVD, NEW LENOX, IL 60451-9524
(773) 233-0873

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036085974
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036085974
IL
Enumeration date
11/21/2005
Last updated
09/06/2016
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