THOMAS PANICUCCI (NPI# 1033735295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033735295 |
| Entity Type | Individual |
| Full Name | THOMAS PANICUCCI |
| Practice Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Mailing Address |
370 Green Mountain Dr Iowa City IA 52245-3841 |
| Practice Telephone | 7086848000 |
| Mailing Telephone | 3192402032 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
138333 | IA | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 370 Green Mountain Dr, Iowa City, IA 522453841 | 3192402032 |
| Street Address |
4440 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
| 1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
| 1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
| 1538785407 | Amanda Thompson | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-17 |
| 1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
| 1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
| 1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
| 1710508783 | Caitlin Cronin | Physical Medicine & Rehabilitation | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833047 | Jennifer Fay Herbert | Registered Nurse | 4011 N Francisco Ave Unit 111, Chicago, IL 60618-2655 | 2020-08-28 |
| 1225653082 | Kailin Haugh | Registered Nurse | 194 Ivy Ln, Bloomingdale, IL 60108-1726 | 2020-06-08 |
| 1841819828 | Alison Chesniak Thompson | Registered Nurse | 1857 W Diversey Pkwy Apt 301, Chicago, IL 60614-9236 | 2020-04-10 |
| 1962038935 | Wendy Lankenau | Registered Nurse | 225 E Chicago Ave Unit A, Chicago, IL 60611-2991 | 2020-03-21 |
| 1720594013 | Viktoria Mileva | Registered Nurse | 236 Tallman Ave, Romeoville, IL 60446-1746 | 2017-12-21 |
| 1205268612 | Precious Watson | Registered Nurse | 1217 E 95th St, Chicago, IL 60619-8019 | 2013-08-08 |
| 1679721633 | Cynthia L. Booth | Registered Nurse | 1801 W Taylor St # 2e, Children and Adolescent Center, Chicago, IL 60612-4319 | 2008-09-03 |
| 1942458260 | Sarah E Kelso | Registered Nurse | 4611 Golf Rd, Suite 200, Skokie, IL 60076-1209 | 2008-08-28 |
| 1295938645 | Marykay Petges | Registered Nurse | 101 Birch Dr Sw, Poplar Grove, IL 61065-8962 | 2007-06-05 |
| 1841410289 | Maureen Adele Macmillan-brown | Registered Nurse | 7028 N Ozark Ave, Chicago, IL 60631-1064 | 2007-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.