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General NPI Number Information
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NPI Number | 1811046139
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Entity Type | Organization
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Legal Business Name | PASCHAL J. PANIO, M.D., P.C.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 18237 KEDZIE AVE
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City | HOMEWOOD
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State | IL
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Zip | 60430-1411
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Country | US
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Telephone | 708-957-9404
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Fax | 708-957-9462
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Provider Business Mailing Address
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Address Line | 1610 BUTTERFIELD RD
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City | FLOSSMOOR
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State | IL
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Zip | 60422-1835
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Country | US
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Telephone | 708-799-5148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PASCHAL J. PANIO
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Credential | M.D.
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Telephone | 708-957-9404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 036050124
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License Number State | IL
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