Individual
PATRICIA MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W CONGRESS PKWY, 735 JELKE ANESTHESIA DEPARTMENT, CHICAGO, IL 60612-3833
(312) 942-6631
(312) 942-5773
Mailing address
1653 W CONGRESS PKWY, 735 JELKE ANESTHESIA DEPARTMENT, CHICAGO, IL 60612-3833
(312) 942-6631
(312) 942-5773
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071-0006613
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POO212259
MEDICARE RAILROAD NUMBER
IL
Enumeration date
09/15/2006
Last updated
05/10/2026
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