Organization
FOREFRONT ADULT & PEDIATRIC CARE, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANTONY PANZICA MD (OWNER)
(708) 478-8380
Entity
Organization
Contact information
Practice address
19621 LA GRANGE RD, MOKENA, IL 60448-9360
(708) 478-8380
(708) 478-3036
Mailing address
19621 S LA GRANGE RD, MOKENA, IL 60448-9360
(708) 478-8380
(708) 478-3036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036095398
IL
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
036103015
IL
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095398
—
IL
Enumeration date
09/09/2008
Last updated
02/06/2026
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