Individual
MR. PATRICK JOSEPH AHERN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
JD LCSW
Contact information
Practice address
2210 DEAN ST, STE O1, ST CHARLES, IL 60175-1066
(630) 587-6910
(630) 587-4928
Mailing address
2210 DEAN ST, STE O1, ST CHARLES, IL 60175-1066
(630) 587-6910
(630) 587-4928
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
49006411
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532233
BLUE CROSS BLUE SHIELD
IL
01
—
2080026
CIGNA BEHAVIORAL HEALTH
IL
Enumeration date
10/26/2005
Last updated
07/08/2007
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