Healthcare Provider Details

I. General information

NPI: 1518525476
Provider Name (Legal Business Name): PATRICIA BADWAY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 S WASHINGTON ST STE 180
NAPERVILLE IL
60540-6775
US

IV. Provider business mailing address

PO BOX 713260
CHICAGO IL
60677-0018
US

V. Phone/Fax

Practice location:
  • Phone: 815-514-2106
  • Fax:
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number277003038
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277003038
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: