| 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 |