Lary Michael Pane, DDS | |
4420 St Charles Road, Bellwood, IL 60104 | |
(708) 547-7160 | |
(630) 426-0211 |
Full Name | Lary Michael Pane |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 4420 St Charles Road, Bellwood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235291287 | NPI | - | NPPES |
1005522 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lary Michael Pane, DDS 4420 St Charles Road, Bellwood, IL 60104 Ph: (708) 547-7160 | Lary Michael Pane, DDS 4420 St Charles Road, Bellwood, IL 60104 Ph: (708) 547-7160 |
Dr. Mimi V. Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 235 Mannheim Rd, Bellwood, IL 60104 Phone: 708-544-5656 | |
Dr. Sethurama Muthuramaswami, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4209.st. Charles Road, Bellwood, IL 60104 Phone: 708-547-1100 |