MEDICARE: CHANGING PATTERNS, PC

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
1	251S00000X	Community/Behavioral Health Agency		IL

General Provider Information

NPI Number	:	1316081748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANGING PATTERNS, PC

Provider Business Mailing Address
First Line	:	PO BOX 13
Second Line	:
City	:	BATAVIA
State	:	IL
Zip	:	60510-0013
Country	:	US
Telephone Number	:	630-406-0075
Fax Number	:	630-406-0079

Provider Business Practice Location Address
First Line	:	150 HOUSTON ST
Second Line	:	SUITE 300
City	:	BATAVIA
State	:	IL
Zip	:	60510-1953
Country	:	US
Telephone Number	:	630-406-0075
Fax Number	:	630-406-0079

Authorized Official
Title or Position	:	OWNER
Name	:	MS. BONNIE LEE ARTMAN
Credential	:	LMFT, RN, CADC
Telephone Number	:	630-406-0075

Provider Enumeration Date	:	02/18/2007
Last Update Date	:	08/22/2020

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Directions to “CHANGING PATTERNS, PC ” Practice Location

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