| Panicker Internal Medicine Inc | |
|
1414 S Richmond Ave Willowbrook IL 60527-1922 | |
| (630) 923-6767 | |
| (630) 489-9619 |
| Full Name | Panicker Internal Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1414 S Richmond Ave, Willowbrook, Illinois |
| Authorized Official Name and Position | Sumitha Panicker (OWNER) |
| Authorized Official Contact | 2246221414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panicker Internal Medicine Inc 1414 S Richmond Ave Willowbrook IL 60527-1922 Ph: (630) 923-6767 | Panicker Internal Medicine Inc 1414 S Richmond Ave Willowbrook IL 60527-1922 Ph: (630) 923-6767 |
| NPI Number | 1518715002 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 1153867494 |
|---|---|
| Medicare Enrollment ID | O20240723004024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518715002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sumitha V Panicker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528279577 PECOS PAC ID: 3870661788 Enrollment ID: I20081006000274 |
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