JENNIFER LYNN PANICKO (NPI# 1871750794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871750794 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN PANICKO |
| Credential | R.D |
| Practice Address |
801 S Milwaukee Ave Libertyville IL 60048-3204 |
| Mailing Address |
1521 Johnson Drive Apt 823 Burffalo Grove IL 60089 |
| Practice Telephone | 8479905283 |
| Mailing Telephone | 8479905283 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
801 S MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213911 | Condell Medical Center | General Acute Care Hospital | 801 S Milwaukee Ave, Libertyville, IL 60048-3199 | 2005-05-24 |
| 1356957658 | Alyson Favela | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-09-22 |
| 1467087486 | Julianna Williams | Emergency Medicine | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-03-10 |
| 1366073645 | Nicole Marie Locascio | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-01-27 |
| 1477198026 | Julia Margret Malloy | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2019-11-07 |
| 1396225280 | Steffanie A Francis | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-08-20 |
| 1639665193 | Antonette Renee Knar | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-07-09 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1295235307 | Linda S Doyle | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048 | 2018-02-15 |
| 1366958878 | Lindsay Mckenzie | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255676375 | Rebecca Weitzel | Dietitian, Registered | 118 4th St, Libertyville, IL 60048-2308 | 2012-11-29 |
| 1851539365 | Mary Elizabeth Cran | Dietitian, Registered | 1000 Benson Ln, Libertyville, IL 60048-2408 | 2009-01-22 |
| 1073629911 | Lisa G. Matthews | Dietitian, Registered | 200 W Golf Rd, Libertyville, IL 60048-3234 | 2006-08-22 |
| 1710947825 | Elizabeth Leigh Giamis | Dietitian, Registered | 1231 Harwood Dr, Libertyville, IL 60048-1128 | 2006-03-23 |
| 1114332889 | Amy Strutzel | Dietitian, Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2014-06-21 |
| 1871841098 | Ashley Elizabeth Mcginn | Dietitian, Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2012-08-20 |
| 1871803387 | Amanda M Stucky | Dietitian, Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2010-10-18 |
| 1477710309 | Patricia Sue Traver | Dietitian, Registered | 800 S Milwaukee Ave, Libertyville, IL 60048-3254 | 2008-05-19 |
| 1699978049 | Christina Marie Burkard | Dietitian, Registered | 200 W Golf Rd, Centre Club, Libertyville, IL 60048-3234 | 2007-06-05 |
| 1710087002 | Dana Petersen | Dietitian, Registered | 200 W Golf Rd, Libertyville, IL 60048-3234 | 2006-09-25 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on JENNIFER LYNN PANICKO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.