Individual
MRS. MARIA PANIAMOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
612 35TH AVE STE 1, MOLINE, IL 61265-6176
(309) 788-0014
(309) 623-4638
Mailing address
612 35TH AVE STE 1, MOLINE, IL 61265-6176
(309) 788-0014
(309) 623-4638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085002064
BCILLINOIS
—
01
—
92068
BCWELLMARK MOLINE
—
01
—
98786
BCWELLMARK E MOLINE
—
01
—
IL01V2
JOHN DEERE
—
Enumeration date
02/13/2006
Last updated
06/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us