Individual
ALAN S PANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1245 MALLARD LN, HOFFMAN ESTATES, IL 60192
(312) 593-0824
(813) 854-2244
Mailing address
1245 MALLARD LN, HOFFMAN ESTATES, IL 60192-4507
(312) 593-0824
(813) 854-2244
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000082
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01637103
BLUE CROSS BLUE SHIELD OF IL
IL
Enumeration date
05/23/2007
Last updated
08/24/2018
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