MEDICARE: PATRICIA BRIGGS ED.S.

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	103TS0200X	School Psychologist	704320	IL

General Provider Information

NPI Number	:	1225760697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA BRIGGS ED.S.

Provider Business Mailing Address
First Line	:	811 CARROLL RD
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-4229
Country	:	US
Telephone Number	:	847-849-0383
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 CARROLL RD
Second Line	:
City	:	LAKE FOREST
State	:	IL
Zip	:	60045-4229
Country	:	US
Telephone Number	:	847-849-0383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2022
Last Update Date	:	06/25/2022

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Directions to “ PATRICIA BRIGGS ED.S.” Practice Location

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