Individual
DR. JOHN PANZICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1535 LAKE COOK RD STE 104, NORTHBROOK, IL 60062-1450
(847) 498-9767
(847) 498-9045
Mailing address
55 E WASHINGTON ST, SUITE 2610, CHICAGO, IL 60602-2103
(312) 853-3431
(312) 853-3432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.017250
IL
1223G0001X
General Practice Dentistry
Primary
019.017250
IL
Other
Enumeration date
05/29/2007
Last updated
04/25/2022
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