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NPI Code Detail

MEDICARE: PATRICIA CONNOR CONNER

MEDICARE:   PATRICIA CONNOR CONNER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1184016479
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA CONNOR CONNER
Provider Business Mailing Address
First Line : 133 W JOE ORR RD
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-1733
Country : US
Telephone Number : 708-833-8965
Fax Number :
Provider Business Practice Location Address
First Line : 133 W JOE ORR RD
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-1733
Country : US
Telephone Number : 708-833-8965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2015
Last Update Date : 02/24/2015

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Directions to “ PATRICIA CONNOR CONNER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.