Individual
MRS. POORNIMA ANIL PANJWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
329 REMINGTON BLVD STE 205, BOLINGBROOK, IL 60440-5817
(630) 226-1130
Mailing address
329 REMINGTON BLVD STE 205, BOLINGBROOK, IL 60440-5817
(503) 862-6382
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
085003291
IL
363AM0700X
Medical Physician Assistant
Primary
085.003291
IL
Other
Enumeration date
06/08/2009
Last updated
09/15/2021
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