Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 247390 | MA |
N | 208000000X | Pediatrician | C10010947 | DE |
N | 208000000X | Pediatrician | MD452115 | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 036-141929 | IL |
N | 2080N0001X | Neonatal-Perinatal Doctor | C10010947 | DE |
N | 2080N0001X | Neonatal-Perinatal Doctor | MD452115 | PA |
NPI | 1013168525 |
---|---|
Provider Name | Dr. Patoula Panagos |
First Address | Chicago, IL 60612-3833 |
Second Address | Chicago, IL 60612-3833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 04/04/2017 |