Individual
MR. MICHAEL ALBERT PANOZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RFA
Contact information
Practice address
750 ALMAR PKWY, SUITE 205, BOURBONNAIS, IL 60914-2315
(815) 933-3955
(815) 933-3944
Mailing address
1105 KERRY LN, JOLIET, IL 60431-8648
(815) 254-7065
(815) 933-3944
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
IL
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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