Provider Demographics
NPI:1922177971
Name:PATAY, MURIEL R (DMIN, LCSW)
Entity Type:Individual
Prefix:DR
First Name:MURIEL
Middle Name:R
Last Name:PATAY
Suffix:
Gender:F
Credentials:DMIN, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 WESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-1655
Mailing Address - Country:US
Mailing Address - Phone:847-733-1922
Mailing Address - Fax:847-332-1978
Practice Address - Street 1:717 MAIN ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-1701
Practice Address - Country:US
Practice Address - Phone:847-733-1991
Practice Address - Fax:847-332-1978
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical