Most Relevant Information
Provider Data
| NPI Number: | 1003250812 |
| Provider Name: | PATRICIA JUSTIS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2013 |
| Last Updated: | 04/23/2013 |
Provider Practice Location
4001 W DAYTON ST
MCHENRY
IL
600508377
Practice Location Phone/Fax
| Phone: | 8157597127 |
| Fax: |
Provider Mailing Location
4001 W DAYTON ST
MCHENRY
IL
600508377
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |