Individual
DR. JANET LEA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 N 8TH ST, SUITE PAV 3A, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-4815
Mailing address
301 N 8TH ST, PO BOX 19658, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-4815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036068728
IL
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
036-068728
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068728
—
IL
Enumeration date
02/22/2006
Last updated
12/10/2020
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