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Individual

MR. PATRICK J. DUNGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR, CHT

Contact information

Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 381-7431
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011068
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151100015
AREA 99
MO
Enumeration date
06/30/2008
Last updated
08/11/2023
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