Provider Demographics
NPI:1497871156
Name:POZZI, PATRICK E (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:E
Last Name:POZZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 PAYSPHERE CIR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0018
Mailing Address - Country:US
Mailing Address - Phone:630-942-7998
Mailing Address - Fax:
Practice Address - Street 1:800 BIESTERFIELD ROAD
Practice Address - Street 2:SUITE 106 WIMMER MEDICAL PLAZA
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007
Practice Address - Country:US
Practice Address - Phone:847-981-8866
Practice Address - Fax:847-981-5580
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036069471207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0360694712Medicaid
C51005Medicare UPIN
ILL10223Medicare ID - Type Unspecified