Individual
PATRICK J NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3140
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3140
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036145363
IL
208000000X
Pediatrics Physician
62036
WI
2080P0203X
Pediatric Critical Care Medicine Physician
02005099A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972892958
—
WI
Enumeration date
03/30/2011
Last updated
11/03/2025
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