Panozzo, John A

Panozzo, John A is an individual health care provider with primary practice located at 16513 106Th Ct , Orland Park IL 60467-4545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Panozzo, John A can be contacted via phone (708) 364-8100.

Contact Information

Primary practice address
16513 106Th Ct Orland Park IL 60467-4545
Fax: (708) 364-1774
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036105009 Illinois

Profile Details

NPI number 1841238029
LBN Legal business name Panozzo, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Sep 13th, 2011 - about 13 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 1841238029 NPPES
Illinois MEDICAID 036105009

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