| Jill A. Patterson, Md Sc | |
|
11148 Front St Mokena IL 60448-1525 | |
| (708) 478-5763 | |
| (708) 478-8763 |
| Full Name | Jill A. Patterson, Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 11148 Front St, Mokena, Illinois |
| Authorized Official Name and Position | Jill A. Patterson (PRESIDENT) |
| Authorized Official Contact | 7084785763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill A. Patterson, Md Sc 11148 Front St Mokena IL 60448-1525 Ph: (708) 478-5763 | Jill A. Patterson, Md Sc 11148 Front St Mokena IL 60448-1525 Ph: (708) 478-5763 |
| NPI Number | 1801106398 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/20/2010 |
| Medicare PECOS PAC ID | 6608064381 |
|---|---|
| Medicare Enrollment ID | O20101222000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801106398 | NPI | - | NPPES |
| 1083642557 | Other | IL | INDIVIDUAL NPI |
| 40755 | Other | IL | MEDICARE GROUP PTAN |
| 036084102 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036084102 (Illinois) | Primary |
| Provider Name | Jill A Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083642557 PECOS PAC ID: 7113006362 Enrollment ID: I20080430000069 |
Forefront Adult & Pediatric Care, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19621 La Grange Rd, Mokena, IL 60448 Phone: 708-478-8380 Fax: 708-478-3036 | |
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A Lota Healthcare Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10260 191st St Ste 100, Mokena, IL 60448 Phone: 708-572-7669 Fax: 708-469-4358 | |
St James Primary Care Center Of Mokena Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19807 La Grange Rd, Mokena, IL 60448 Phone: 708-679-2580 |