Individual
PATRICIA HABERKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
210 E TORRANCE AVE, PONTIAC, IL 61764-2746
(815) 842-1122
(815) 842-2728
Mailing address
210 E TORRANCE AVE, PONTIAC, IL 61764-2746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041217555
IL
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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