CORE CONTROL, LLC


Address: 2003 N Hoyne Ave, Chicago, IL 60647-4522
Phone: 3123715707

CORE CONTROL, LLC (NPI# 1669492567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669492567
Entity Type Organization
Organization Name CORE CONTROL, LLC
Other Organization Name ERINN E. PANVENO
Practice Address 2003 N Hoyne Ave
Chicago
IL 60647-4522
Practice Telephone 3123715707
Practice Fax Number 7734869345
Mailing Telephone 3123715707
Mailing Fax Number 7734869345
Enumeration Date 2006-07-20
Last Update Date 2008-09-17
Authorized Official Name DR. ERINN E. PANVENO (DOCTOR OF PHYSICAL THERAPY)
Authorized Official Telephone 3123715707
Authorized Official Credential DPT, CSCS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
070-012295 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Erinn E. Panveno Doing Business As Name - Organization

Office Location

Street Address 2003 N HOYNE AVE
City CHICAGO
State IL
Zip Code 60647-4522

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1023517331 Chicago Medical Healthcare Group, S.c. Family Medicine 3648 W Armitage Avenue, Chicago, IL 60647 2018-02-02
1023537693 Erin Frommeyer Physician Assistant 2228 W Dickens Avenue, Chicago, IL 60647 2017-09-15
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

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1891217683 Zachary Michael Stapleton Physical Therapist 5841 S Maryland Ave # W107, Chicago, IL 60637-1447 2017-07-13
1548716483 El Rey Corporation Physical Therapist 2250 W Belmont Ave Unit 1w, Chicago, IL 60618-6561 2016-08-31
1518323112 Saxony A Matousek Physical Therapist 8750 W Bryn Mawr, Chicago, IL 60631-3569 2016-01-12
1710239132 Alyssa Davis Physical Therapist 819 W. Blackhawk, Chicago, IL 60642 2012-10-09
1700173093 Physical Sciences Institute, Inc. Physical Therapist 1335 W Lake St, Chicago, IL 60607-1518 2011-07-07
1467778357 Elizabeth Mary Amoroso Physical Therapist 1850 N Clark St, #2504, Chicago, IL 60614-5301 2010-04-16
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Competitor

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City CHICAGO
Zip Code 60647

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Dataset Information

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.

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