Individual
ANGELA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17333 LA GRANGE RD, SUITE 200, TINLEY PARK, IL 60487-7502
(708) 342-1900
(708) 429-3145
Mailing address
17333 LA GRANGE RD, SUITE 200, TINLEY PARK, IL 60487-7502
(708) 342-1900
(708) 429-3145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012944
IL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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