PANA MEDICAL GROUP NPI 1982159182

NPI Information

PANA MEDICAL GROUP is a primary care clinic center in Pana, IL. PANA MEDICAL GROUP NPI is 1982159182. The provider is registered as an organization entity type.

The provider's business location address is:

217 S LOCUST ST
PANA, IL
ZIP 62557-605
Phone: (217) 562-2143
Fax: (217) 562-2251

The provider's authorized official is Katrina Casner .
The authorized official title is Coo and has the following contact phone number (217) 562-2131.

The CLIA number assigned to this NPI record is 14D0435247 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/18/2016 and was last updated on 2/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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