Dr Susan Marie Panek, MD is a
Family Medicine physician based in La Grange Park, Illinois. Dr Susan Marie Panek is licensed to practice in Illinois (license number ) and her current practice location is 1905 E 31st St, La Grange Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 579-5350.
NPI number for Dr Susan Marie Panek is 1902802747 and her current mailing address is 1905 E 31st St, La Grange Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902802747.
Physician's Profile
Full Name | Dr Susan Marie Panek |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1905 E 31st St, La Grange Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902802747
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Susan Marie Panek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902802747 | NPI | - | NPPES |
21609278 | Other | IL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Susan Marie Panek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Susan Marie Panek, MD 1905 E 31st St, La Grange Park, IL 60526-1324 Ph: (708) 579-5350 | Dr Susan Marie Panek, MD 1905 E 31st St, La Grange Park, IL 60526-1324 Ph: (708) 579-5350 |
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