| Lary Michael Pane, DDS | |
| 
					4420 St Charles Road, Bellwood, IL 60104  | |
| (708) 547-7160 | |
| (630) 426-0211 | 
| Full Name | Lary Michael Pane | 
|---|---|
| Gender | Male | 
| Speciality | Dentist | 
| Location | 4420 St Charles Road, Bellwood, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235291287 | NPI | - | NPPES | 
| 1005522 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lary Michael Pane, DDS 4420 St Charles Road, Bellwood, IL 60104 Ph: (708) 547-7160  | Lary Michael Pane, DDS 4420 St Charles Road, Bellwood, IL 60104 Ph: (708) 547-7160  | 
Dr. Mimi V. Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 235 Mannheim Rd, Bellwood, IL 60104 Phone: 708-544-5656  | |
Dr. Sethurama Muthuramaswami, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4209.st. Charles Road, Bellwood, IL 60104 Phone: 708-547-1100  |