| Patricia M Egan And Associates Llc | |
|
3000 Highland View Dr Freeport IL 61032-6936 | |
| (815) 297-8400 | |
| Not Available |
| Full Name | Patricia M Egan And Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3000 Highland View Dr, Freeport, Illinois |
| Authorized Official Name and Position | Patricia M Egan (OWNER) |
| Authorized Official Contact | 8152978400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia M Egan And Associates Llc 3000 Highland View Dr Freeport IL 61032-6936 Ph: (815) 297-8400 | Patricia M Egan And Associates Llc 3000 Highland View Dr Freeport IL 61032-6936 Ph: (815) 297-8400 |
| NPI Number | 1962706077 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 03/23/2011 |
| Medicare PECOS PAC ID | 2163607896 |
|---|---|
| Medicare Enrollment ID | O20110425000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962706077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007492 (Illinois) | Primary |
| Provider Name | Kathleen A Kruse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871664011 PECOS PAC ID: 9931130085 Enrollment ID: I20050829000292 |
| Provider Name | Patricia M Egan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750537502 PECOS PAC ID: 1658447834 Enrollment ID: I20080912000171 |
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