Individual
DR. PATRICIA MARY PANZICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5727 STRATHMOOR DR, REAR 1, ROCKFORD, IL 61107-5180
(815) 398-1527
(815) 398-1629
Mailing address
5727 STRATHMOOR DR, REAR 1, ROCKFORD, IL 61107-5180
(815) 398-1527
(815) 398-1629
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
336017507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052723
—
IL
Enumeration date
09/01/2006
Last updated
06/30/2016
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