Individual
ANITA DEMETRA PANAGIOTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
310 S COUNTY FARM RD, UNIT D, WHEATON, IL 60187
(630) 653-9995
(630) 653-9959
Mailing address
310 S COUNTY FARM RD, UNIT D, WHEATON, IL 60187
(630) 653-9995
(630) 653-9959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070003081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070003081
BCBS
IL
01
—
7576630
AETNA
IL
01
—
C16248
RAILROAD MEDICARE
IL
Enumeration date
07/30/2006
Last updated
09/20/2011
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