MEDICARE: CORE CONTROL, LLC

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
1	2251X0800X	Orthopedic Physical Therapist	070-012295	IL

General Provider Information

NPI Number	:	1669492567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE CONTROL, LLC

Provider Business Mailing Address
First Line	:	2003 N HOYNE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4522
Country	:	US
Telephone Number	:	312-371-5707
Fax Number	:	773-486-9345

Provider Business Practice Location Address
First Line	:	2003 N HOYNE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4522
Country	:	US
Telephone Number	:	312-371-5707
Fax Number	:	773-486-9345

Authorized Official
Title or Position	:	DOCTOR OF PHYSICAL THERAPY
Name	:	DR. ERINN E. PANVENO
Credential	:	DPT, CSCS
Telephone Number	:	312-371-5707

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	09/17/2008

Similar Medicare Providers

1992772040 — ANGELIQUE MARIE BECKER PHARMD
Practice Location Address:

2545 CHICAGO AVE
MINNEAPOLIS, MN
55404-4522

Practice Phone: 612-863-5810
Practice Fax: 612-863-5702

1790754299 — JOHN STUART WERMAGER MD
Practice Location Address:

2545 CHICAGO AVE , SUITE 701
MINNEAPOLIS, MN
55404-4522

Practice Phone: 612-863-5327
Practice Fax: 612-863-2596

1912966151 — JAMES W KNUDSON MD
Practice Location Address:

2545 CHICAGO AVE , SUITE 701
MINNEAPOLIS, MN
55404-4522

Practice Phone: 612-863-5327
Practice Fax: 612-863-2596

1134181696 — REBECCA L COOK PSYD, LP
Practice Location Address:

2545 CHICAGO AVE , SUITE 701
MINNEAPOLIS, MN
55404-4522

Practice Phone: 612-863-5327
Practice Fax: 612-863-2596

1780646257 — THOMAS EDWARD NOBLE CRNA
Practice Location Address:

2545 CHICAGO AVE , SUITE 311
MINNEAPOLIS, MN
55404-4522

Practice Phone: 612-871-7639
Practice Fax: 612-872-0302

1275597957 — MARK L ROA MA, LP
Practice Location Address:

2545 CHICAGO AVE , SUITE 701
MINNEAPOLIS, MN
55404-4522

Practice Phone: 612-863-5327
Practice Fax: 612-863-2596

Directions to “CORE CONTROL, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.