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NPI Code Detail

MEDICARE: DANIELLE ANTOINETTE PATTERSON

MEDICARE: DANIELLE ANTOINETTE PATTERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1083428437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ANTOINETTE PATTERSON
Provider Business Mailing Address
First Line : 48 SWAN LN
Second Line :
City : BEECHER
State : IL
Zip : 60401-9772
Country : US
Telephone Number : 312-576-1086
Fax Number :
Provider Business Practice Location Address
First Line : 3100 S CENTRAL AVE
Second Line :
City : CICERO
State : IL
Zip : 60804-3956
Country : US
Telephone Number : 708-863-3803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2025
Last Update Date : 06/19/2026

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Directions to “ DANIELLE ANTOINETTE PATTERSON ” Practice Location

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