Basic Information
| Provider Information | |||||||||
| NPI: | 1205901832 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BILSKEY | ||||||||
| FirstName: | PATRICK | ||||||||
| MiddleName: | LOUIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 472 ROUTE 47 | ||||||||
| Address2: | |||||||||
| City: | SUGAR GROVE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605548107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6304666000 | ||||||||
| FaxNumber: | 6304666001 | ||||||||
| Practice Location | |||||||||
| Address1: | 472 N. RTE. 47 | ||||||||
| Address2: | |||||||||
| City: | SUGAR GROVE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60554 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6304666000 | ||||||||
| FaxNumber: | 6304666001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 04/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 036103695 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.