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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104892231 NPPES
Illinois MEDICAID 36103232

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