Pankus, Jill P

Pankus, Jill P is an individual health care provider with primary practice located at 124 Harrison St , Barrington IL 60010-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pankus, Jill P can be contacted via phone (847) 381-7618.

Contact Information

Primary practice address
124 Harrison St Barrington IL 60010-3007
Phone: (847) 381-7618
Fax: (847) 381-9198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209001706 Illinois

Profile Details

NPI number 1750401303
LBN Legal business name Pankus, Jill P
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Sep 2nd, 2016 - about 9 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 1750401303 NPPES
Illinois Other 209001706 APN LICENSE
Illinois Other 309002557 APN LICENSE

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