Individual
DR. CHRISTINE MAURA PANIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
885 ROOSEVELT RD STE 202, GLEN ELLYN, IL 60137-6141
(630) 790-1555
(630) 545-3787
Mailing address
885 ROOSEVELT RD STE 202, GLEN ELLYN, IL 60137-6141
(630) 790-1555
(630) 545-3787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036151685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125070324
—
IL
Enumeration date
06/12/2017
Last updated
10/22/2020
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