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Contact Information

PATRICIA M BALTAZAR, FNP
410 E LINCOLN HWY STE 101
NEW LENOX, IL60451-1976
 Phone: 815-462-5544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PATRICIA M BALTAZAR · (Female)

NPI # 1659008928
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/05/2022
Last updated 10/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036117307
  • IL License # 209025045
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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