Basic Information
| Provider Information | |||||||||
| NPI: | 1699763193 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEGHERS | ||||||||
| FirstName: | PATRICIA | ||||||||
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| Credential: | PHD, LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1525 E 53RD ST | ||||||||
| Address2: | # 719 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606154557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7734933420 | ||||||||
| FaxNumber: | 7087954834 | ||||||||
| Practice Location | |||||||||
| Address1: | 1525 E 53RD ST | ||||||||
| Address2: | # 719 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606154557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7734933420 | ||||||||
| FaxNumber: | 7087954834 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | IL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.