Individual
DR. MARK DOUGLAS PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1260 IROQUOIS AVE, SUITE110, NAPERVILLE, IL 60563-1689
(630) 983-8455
(630) 983-8452
Mailing address
1260 IROQUOIS AVE, SUITE110, NAPERVILLE, IL 60563-1689
(630) 983-8455
(630) 983-8452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380094550
—
IL
01
—
08227869
BLUECROSS BLUESHIELD
IL
01
—
139433250640
HUMANA
IL
01
—
7753355
AETNA
IL
Enumeration date
11/13/2006
Last updated
07/09/2007
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