Individual
DR. JOSEPH J PANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6614 S HALSTED ST, SUITE 103, CHICAGO, IL 60621-1812
(773) 783-0303
(773) 783-2300
Mailing address
6614 S HALSTED ST, SUITE 103, CHICAGO, IL 60621-1812
(773) 783-0303
(773) 783-2300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01608208
BLUE CROSS/BLUE SHIELD
IL
01
—
01633482
BLUE SHIELD
IL
01
—
300600
MEDICARE PART B
IL
Enumeration date
09/26/2007
Last updated
09/26/2007
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