Karen Panganiban
Nurse Practitioner (Adult Health)

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 Identifier (NPI) 1992249585
Entity Type Individual
Full Name Karen Panganiban
Gender Female
Practice Address 4605 N Elston Ave
IL 60630-4373
Practice Telephone 7736567953
Mailing Address 4605 N Elston Ave
IL 60630-4373
Mailing Telephone 7736567953
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2016-12-15
Last Update Date 2016-12-15

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers 209015198 IL

Physician Overview

NPI 1992249585
PAC ID by PECOS 4183909864
Professional Enrollment ID I20170320001611
Full Name Karen Panganiban
Phone Number 8477959000
Gender F
Graduation Year 2016
Group Practice PAC ID 6901103647
Number of Group Practice Members 6
Accepts Medicare Assignment Y

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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Office Location

Street Address 4605 N ELSTON AVE
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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NPI Name Taxonomy Address Enumeration
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1174983795 Cheryl Ann Howe Speech-Language Pathologist 4714 N. Laramie Ave., Chicago, IL 60630 2016-02-24
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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.