Panaki, Davd
Panaki, Davd is an individual health care provider with primary practice located at 1909 Cheker Sq , East Hazel Crest IL 60429-1442. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Panaki, Davd can be contacted via phone (708) 647-3328.Contact Information
Primary practice address
1909 Cheker Sq
East Hazel Crest IL 60429-1442
Phone: (708) 647-3328
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 27215 | Illinois |
Profile Details
| NPI number | 1740644186 |
|---|---|
| LBN Legal business name | Panaki, Davd |
| Credentials | MHS,CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2016 |
| Last updated | Apr 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740644186 | NPPES |
| Illinois | Other | 27215 | ILLINOIS CERTIFICATION BOARD INC |
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