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Organization

NORMITA PANGAN FIRST SURGEON ASSISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORMITA S PANGAN (FIRST ASSIST/SURGEON ASSIST)
(312) 972-9179
Entity
Organization

Contact information

Practice address
800 BIESTERFIELD RD, ELK GROVE VLG, IL 60007-3361
(847) 437-5500
Mailing address
439 FERDINAND AVE, FOREST PARK, IL 60130-3199
(312) 972-9179

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1306383997
NPPES
IL
Enumeration date
11/19/2019
Last updated
11/19/2019
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