KAREN PANGANIBAN


Address: 4605 N Elston Ave, 3a, Chicago, IL 60630-4373
Phone: 7736567953

KAREN PANGANIBAN (NPI# 1992249585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992249585
Entity Type Individual
Full Name KAREN PANGANIBAN
Practice Address 4605 N Elston Ave
3a
Chicago
IL 60630-4373
Practice Telephone 7736567953
Mailing Telephone 7736567953
Enumeration Date 2016-12-15
Last Update Date 2016-12-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209015198 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4605 N ELSTON AVE
3A
City CHICAGO
State IL
Zip Code 60630-4373

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548709272 Carol Calma Nurse Practitioner 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 2017-02-14

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1942717418 Madiha Khan Nurse Practitioner 3000 N Halsted St Ste 623, Chicago, IL 60657 2018-01-05
1952828980 Paulina Petrishka Nurse Practitioner 1115 N Crosby St # C, Chicago, IL 60610-2405 2017-08-30
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Competitor

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City CHICAGO
Zip Code 60630

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Dataset Information

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.

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