Individual
PATRICIA MARIA PASILLAS CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
731 REDWOOD CT, GENOA, IL 60135-7526
(224) 629-9262
Mailing address
731 REDWOOD CT, GENOA, IL 60135-7526
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209029108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062987
NOT APPLICABLE YET
IL
Enumeration date
09/14/2022
Last updated
03/21/2024
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