Individual
PATRICK MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, MHP
Contact information
Practice address
639 YORK ST, QUINCY, IL 62301-3963
(217) 222-6277
(618) 224-1155
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 326-2772
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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