Susan Marie Panek in La Grange Park - Family Medicine
Susan Marie Panek - NPI 1902802747
Susan Marie Panek is a Family Medicine in La Grange Park, Illinois. Susan Marie Panek practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Marie Panek is 1902802747. The last update date is 2007-07-08.
Susan Marie Panek's current location address is 1905 E 31st St, La Grange Park, Illinois. You can contact this provider via phone number 7085795350. The mailing address for Susan Marie Panek is 1905 E 31st St, La Grange Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Panek |
|---|---|
| Address | 1905 E 31st St, La Grange Park, Illinois |
| Phone Number | 7085795350 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902802747 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1905 E 31st St |
|---|---|
| City | La Grange Park |
| State | Illinois (IL) |
| Post Code | 605261324 |
| Phone Number | 7085795350 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21609278 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Susan Marie Panek by the Centers for Medicare & Medicaid Services?
The Susan Marie Panek has been issued the NPI (National Provider Identifier) 1902802747. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan Marie Panek is physically located?
The Susan Marie Panek is physically situated at the following address: 1905 E 31St St, La Grange Park, IL, 605261324.
What is the Susan Marie Panek's specialty and taxonomy code?
The Susan Marie Panek's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Susan Marie Panek receive its 1902802747 assignment from the Centers for Medicare & Medicaid Services?
The Susan Marie Panek was assigned its 1902802747 by the Centers for Medicare & Medicaid Services on 2005-06-27.
As of what date were the details related to Susan Marie Panek most recently updated or revised?
The information pertaining to Susan Marie Panek, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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