Individual
DR. PATRICK B MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, PHD
Contact information
Practice address
1544 NERGE RD, ELK GROVE VILLAGE, IL 60007-3673
(847) 923-0046
(847) 923-0047
Mailing address
1544 NERGE RD, ELK GROVE VILLAGE, IL 60007-3673
(847) 923-0046
(847) 923-0047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
208VP0000X
Pain Medicine Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635922
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/08/2006
Last updated
08/28/2007
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