Paniker, Christine Maura

Paniker, Christine Maura is an sole proprietor health care provider with primary practice located at 885 Roosevelt Rd Ste 202 , Glen Ellyn IL 60137-6141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Paniker, Christine Maura can be contacted via phone (630) 790-1555.

Contact Information

Primary practice address
885 Roosevelt Rd Ste 202 Glen Ellyn IL 60137-6141
Fax: (630) 545-3787
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036151685 Illinois

Profile Details

NPI number 1629508700
LBN Legal business name Paniker, Christine Maura
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2017
Last updated Oct 22nd, 2020 - about 4 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 1629508700 NPPES
Illinois MEDICAID 125070324

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