Panozzo, John A
Panozzo, John A is an individual health care provider with primary practice located at 16513 106Th Ct , Orland Park IL 60467-4545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Panozzo, John A can be contacted via phone (708) 364-8100.Contact Information
Primary practice address
16513 106Th Ct
Orland Park IL 60467-4545
Phone: (708) 364-8100
Fax: (708) 364-1774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036105009 | Illinois |
Profile Details
| NPI number | 1841238029 |
|---|---|
| LBN Legal business name | Panozzo, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Sep 13th, 2011 - about 15 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 | 1841238029 | NPPES |
| Illinois | MEDICAID | 036105009 |
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