Individual
WILLIAM R PANJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST, SUITE 340, CHICAGO, IL 60612-3841
(312) 563-9805
(312) 563-0165
Mailing address
PO BOX 75803, CHICAGO, IL 60675-5803
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036047409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001629253
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/28/2005
Last updated
06/17/2009
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