Healthcare Provider Details

I. General information

NPI: 1407718448
Provider Name (Legal Business Name): PATRICIA HESPEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3317 W 95TH ST STE 101
EVERGREEN PARK IL
60805-2243
US

IV. Provider business mailing address

9808 S TRUMBULL AVE
EVERGREEN PARK IL
60805-3049
US

V. Phone/Fax

Practice location:
  • Phone: 708-529-8483
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022388
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number25-010
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: