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NPI Code Detail

MEDICARE: DR. JEFFREY MICHAEL PANZER M.D.

MEDICARE:  DR. JEFFREY MICHAEL PANZER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036-124689IL
2207Q00000XFamily Medicine PhysicianMD436189PA

General Provider Information

NPI Number : 1225158728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY MICHAEL PANZER M.D.
Provider Business Mailing Address
First Line : 1273 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-9318
Country : US
Telephone Number : 773-570-3340
Fax Number : 773-453-9191
Provider Business Practice Location Address
First Line : 1273 N MILWAUKEE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-9318
Country : US
Telephone Number : 773-570-3340
Fax Number : 773-453-9191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 03/24/2017

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Directions to “ DR. JEFFREY MICHAEL PANZER M.D.” Practice Location

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