Organization
WILLIAM PANJE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PANJE M.D. (PRESIDENT)
(708) 798-6800
Entity
Organization
Contact information
Practice address
6703 159TH ST, TINLEY PARK, IL 60477-1781
(708) 798-6800
Mailing address
PO BOX 1180, MATTESON, IL 60443-4180
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
036047409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001629253
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/06/2009
Last updated
11/25/2009
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