Patricia Mortensen

NPI 1154760619 · on the registry since 2013

Practice

Address: 310 E Torrance Ave
Pontiac, IL 61764
Phone: (815) 844-6109
Fax: (815) 844-3561
Organisation at this address: Livingston County
Livingston Co Public Hlth Dept
Livingston County Mental Health Board
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois