FOREFRONT ADULT & PEDIATRIC CARE, S.C. (NPI# 1073762555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073762555 |
| Entity Type | Organization |
| Organization Name | FOREFRONT ADULT & PEDIATRIC CARE, S.C. |
| Practice Address |
19621 La Grange Rd Mokena IL 60448-9360 |
| Practice Telephone | 7084788380 |
| Practice Fax Number | 7084783036 |
| Mailing Telephone | 7084788380 |
| Mailing Fax Number | 7084783036 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | DR. PAUL A. PANZICA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7084788380 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036103015 | IL | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
036095398 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036095398 | 05 |
| Street Address |
19621 LA GRANGE RD |
| City | MOKENA |
| State | IL |
| Zip Code | 60448-9360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972543916 | Manuel Perez | Surgery | 19621 La Grange Rd, Mokena, IL 60448-9360 | 2006-06-07 |
| 1053716795 | Manuel Perez, M.d.,s.c. | Clinic/Center | 19621 La Grange Rd, Mokena, IL 60448-9360 | 2014-10-23 |
| 1295802882 | Paul Antony Panzica | Internal Medicine | 19621 La Grange Rd, Mokena, IL 60448-9360 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1881173656 | Instarx Pharmacy LLC | Pharmacy | 18927 Hickory Creek Dr Ste 135, Mokena, IL 60448 | 2018-08-12 |
| 1124535240 | Three Point Healthcare LLC | Physical Therapist | 19807 S La Grange Rd, Mokena, IL 60448 | 2018-01-10 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1346769122 | Haley Mccabe | Specialist/Technologist | 11520 Plattner Dr, Mokena, IL 60448 | 2017-09-13 |
| 1215450408 | Valley Creek Family Dental Ltd | Clinic/Center | 11244 W Laporte Rd, Mokena, IL 60448 | 2017-07-20 |
| 1477084861 | Ellen Marie Spiese | Marriage & Family Therapist | 19518 116th Ave Unit D, Mokena, IL 60448 | 2017-03-27 |
| 1851714190 | Oasis Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 10010 W 190th Pl, Mokena, IL 60448 | 2014-01-22 |
| 1396167201 | Tammy S Grode | Counselor | 9200 W 191st St Ste 6, Mokena, IL 60448 | 2014-01-11 |
| 1467725119 | Easter Seals | Specialist | 10039 Cambridge Ct, Mokena, IL 60448 | 2012-02-10 |
| Find all providers in zip 60448 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801315049 | Synergenx Health - Mokena LLC | Clinic/Center | 19164 88th Ave, Mokena, IL 60448-8135 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
| 1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
| 1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
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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.