Provider Demographics
NPI:1861416869
Name:TURNER, PATRICIA L (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:L
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-834-4220
Mailing Address - Fax:773-702-6120
Practice Address - Street 1:150 E HURON ST
Practice Address - Street 2:SUITE 900
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2999
Practice Address - Country:US
Practice Address - Phone:773-834-3524
Practice Address - Fax:773-702-6120
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.133051208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0093OtherCAREFIRST REGIONAL
MD405718000Medicaid
MD89574OtherGEISINGER
MD227435OtherKAISER
MD2126482OtherMDIPA
MD89574OtherGEISINGER
MDI05775Medicare UPIN