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NPI Code Detail

MEDICARE: PATRICK HALL

MEDICARE: PATRICK HALL
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1306200068
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK HALL
Provider Business Mailing Address
First Line : 4001 W DAYTON ST
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8377
Country : US
Telephone Number : 815-344-1230
Fax Number :
Provider Business Practice Location Address
First Line : 4001 W DAYTON ST
Second Line :
City : MCHENRY
State : IL
Zip : 60050-8377
Country : US
Telephone Number : 815-344-1230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 05/10/2026

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Directions to “ PATRICK HALL ” Practice Location

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