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NPI Code Detail

MEDICARE: ALEXANDER PANAGOS MD

MEDICARE: ALEXANDER PANAGOS MD
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
1207P00000XEmergency Medicine PhysicianIL

General Provider Information

NPI Number : 1285602524
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER PANAGOS MD
Provider Business Mailing Address
First Line : 421 W EXCHANGE ST
Second Line : PO BOX 857
City : FREEPORT
State : IL
Zip : 61032-4030
Country : US
Telephone Number : 815-599-7958
Fax Number :
Provider Business Practice Location Address
First Line : 1045 W STEPHENSON ST
Second Line :
City : FREEPORT
State : IL
Zip : 61032-4864
Country : US
Telephone Number : 815-599-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2006
Last Update Date : 07/08/2007

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Directions to “ ALEXANDER PANAGOS MD” Practice Location

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