Panzica, Paul Antony

Panzica, Paul Antony is an sole proprietor health care provider with primary practice located at 19621 La Grange Rd , Mokena IL 60448-9360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Panzica, Paul Antony can be contacted via phone (708) 478-8380.

Contact Information

Primary practice address
19621 La Grange Rd Mokena IL 60448-9360
Phone: (708) 478-8380
Fax: (708) 478-3036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036095398 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036095398 Illinois

Profile Details

NPI number 1295802882
LBN Legal business name Panzica, Paul Antony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Nov 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295802882 NPPES
Illinois MEDICAID 036095398

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