Individual
PAMELA LYNN PATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD, CNSC
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 385-5436
Mailing address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 385-5436
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
164.000490
IL
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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