Individual
DR. VLADIMIR V PANINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 N MICHIGAN AVE STE 2727, CHICAGO, IL 60611-1822
(847) 856-2600
(847) 574-5887
Mailing address
875 N MICHIGAN AVE STE 2727, CHICAGO, IL 60611-1822
(847) 856-2600
(847) 574-5887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36094089
IL
207N00000X
Dermatology Physician
Primary
036094089
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11208435
CAQH
IL
Enumeration date
08/21/2006
Last updated
09/15/2021
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