Individual
EMILY PANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24363 SPRING CREEK RD STE H, WASHINGTON, IL 61571-9654
(309) 204-9881
(217) 773-2425
Mailing address
24363 SPRING CREEK RD STE H, WASHINGTON, IL 61571-9654
(309) 204-9881
(217) 773-2425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/21/2013
Last updated
04/23/2021
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