| Forefront Adult & Pediatric Care | |
|
1938 E Lincoln Hwy Ste 106 New Lenox IL 60451-3927 | |
| (815) 485-8380 | |
| (815) 485-1116 |
| Full Name | Forefront Adult & Pediatric Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1938 E Lincoln Hwy Ste 106, New Lenox, Illinois |
| Authorized Official Name and Position | Paul A Panzica (BUSINESS OWNER) |
| Authorized Official Contact | 8154858380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forefront Adult & Pediatric Care 1938 E Lincoln Hwy Ste 106 New Lenox IL 60451-3927 Ph: (815) 485-8380 | Forefront Adult & Pediatric Care 1938 E Lincoln Hwy Ste 106 New Lenox IL 60451-3927 Ph: (815) 485-8380 |
| NPI Number | 1467667659 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467667659 | NPI | - | NPPES |
| 036095398 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042-618128 (Illinois) | Primary |
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