Pangan, Antonio
Pangan, Antonio is an individual health care provider with primary practice located at 2160 S 1St Ave (7511 Lemont Rd, Darien, Il. 60561), Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pangan, Antonio can be contacted via phone (630) 985-4989.Contact Information
Primary practice address
2160 S 1St Ave (7511 Lemont Rd, Darien, Il. 60561)
Maywood IL 60153
Phone: (630) 985-4989
Fax: (630) 985-4540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36103232 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036103232 | Illinois |
Profile Details
| NPI number | 1104892231 |
|---|---|
| LBN Legal business name | Pangan, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 23rd, 2009 - 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 | 1104892231 | NPPES |
| Illinois | MEDICAID | 36103232 |
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