Individual
CARA PANAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(630) 909-8000
Mailing address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(630) 909-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014533
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209014533
STATE OF IL
IL
Enumeration date
08/19/2015
Last updated
05/02/2022
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