Individual
DR. JOHN E PANTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3660
(847) 956-5108
Mailing address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3660
(847) 956-5108
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036084913
IL
207RP1001X
Pulmonary Disease Physician
Primary
036084913
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084913
—
IL
01
—
1617373
BCBS OF IL
IL
Enumeration date
05/16/2006
Last updated
04/06/2021
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