Dr Christine Maura Paniker, DO | |
885 Roosevelt Rd Ste 202, Glen Ellyn, IL 60137-6141 | |
(630) 790-1555 | |
(630) 545-3787 |
Full Name | Dr Christine Maura Paniker |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 885 Roosevelt Rd Ste 202, Glen Ellyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629508700 | NPI | - | NPPES |
125070324 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036151685 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Christine Maura Paniker, DO 885 Roosevelt Rd Ste 202, Glen Ellyn, IL 60137-6141 Ph: (630) 790-1555 | Dr Christine Maura Paniker, DO 885 Roosevelt Rd Ste 202, Glen Ellyn, IL 60137-6141 Ph: (630) 790-1555 |
Tahmineh Abbasian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Panorea Mathews-kukla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Sarah Choudhry, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave Ste 210, Glen Ellyn, IL 60137 Phone: 630-469-7700 Fax: 630-545-7851 | |
Jayshree Vajaria, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Jennifer Blount, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 | |
Dr. Yasir Kazmi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 Pennsylvania Ave, 210, Glen Ellyn, IL 60137 Phone: 630-469-7700 | |
David Morris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 430 Pennsylvania Ave, Glen Ellyn, IL 60137 Phone: 630-469-9200 |