Individual
MR. PATRICK GERARD MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2312 PEPPER VALLEY DR, GENEVA, IL 60134-1705
(630) 208-8174
Mailing address
2312 PEPPER VALLEY DR, GENEVA, IL 60134-1705
(630) 208-8174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056001833
IL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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