MEDICARE: AUDREY JOAN PANKO 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
1	207V00000X	Obstetrics & Gynecology Physician	036175005	IL

General Provider Information

NPI Number	:	1417533514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUDREY JOAN PANKO MD

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 1200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8702
Country	:	US
Telephone Number	:	312-440-9400
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 N LAKE SHORE DR STE 1200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8702
Country	:	US
Telephone Number	:	312-926-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2021
Last Update Date	:	05/27/2026

Similar Medicare Providers

1992070338 — DR. JULIANNE ZIMNY MORTON M.D.
Practice Location Address:

680 N LAKE SHORE DR STE 1200
CHICAGO, IL
60611-8702

Practice Phone: 312-440-9400
Practice Fax: 312-440-0423

1174101869 — CAITLYN MURDOCK MD
Practice Location Address:

680 N LAKE SHORE DR STE 824
CHICAGO, IL
60611-8702

Practice Phone: 312-943-3300
Practice Fax: 312-266-4591

1801152103 — MARGARET R LHEUREUX MD
Practice Location Address:

680 N LAKE SHORE DR STE 824
CHICAGO, IL
60611-8702

Practice Phone: 312-943-3300
Practice Fax: 312-266-4591

1477793248 — SHANTAE LEIGH WILLIAMS PT, DPT
Practice Location Address:

680 N LAKE SHORE DR STE 830
CHICAGO, IL
60611-8702

Practice Phone: 312-926-8811
Practice Fax: 312-926-8815

1124453568 — LAURA SLOWINSKE PT
Practice Location Address:

680 N LAKE SHORE DR STE 830
CHICAGO, IL
60611-8702

Practice Phone: 312-926-8811
Practice Fax: 312-926-8815

1144626664 — SHELLY SHIHHSIEN WU PT, DPT
Practice Location Address:

680 N LAKE SHORE DR STE 830
CHICAGO, IL
60611-8702

Practice Phone: 312-926-8811
Practice Fax: 312-926-8815

Directions to “ AUDREY JOAN PANKO MD” 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.