Provider Demographics
NPI:1316081748
Name:CHANGING PATTERNS, PC
Entity type:Organization
Organization Name:CHANGING PATTERNS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, RN, CADC
Authorized Official - Phone:630-406-0075
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-0013
Mailing Address - Country:US
Mailing Address - Phone:630-406-0075
Mailing Address - Fax:630-406-0079
Practice Address - Street 1:150 HOUSTON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1953
Practice Address - Country:US
Practice Address - Phone:630-406-0075
Practice Address - Fax:630-406-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health