Provider Demographics
NPI:1104891506
Name:WYHINNY, PATRICA P (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICA
Middle Name:P
Last Name:WYHINNY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8901 GOLF RD
Mailing Address - Street 2:206
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6850
Mailing Address - Country:US
Mailing Address - Phone:847-699-1801
Mailing Address - Fax:847-699-1744
Practice Address - Street 1:8901 GOLF RD
Practice Address - Street 2:206
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6850
Practice Address - Country:US
Practice Address - Phone:847-699-1801
Practice Address - Fax:847-699-1744
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2013-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036064685207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036064685Medicaid
IL036064685Medicaid
C46161Medicare UPIN