Pana Medical Group
Clinic/Center, Primary Care in Pana, IL. Organization (NPI-2).
NPI number1982159182
StatusActive
Last updated in NPPESFeb 11, 2019
Details
- NPI
- 1982159182
- Entity type
- Organization (NPI-2)
- Legal business name
- Pana Medical Group
- Organization subpart
- No
- Enumeration date
- Aug 18, 2016
- Last updated
- Feb 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
217 S Locust StPana, IL 62557-1605
Phone 217-562-2143 · Fax 217-562-2251
Mailing address
217 S Locust StPana, IL 62557-1605
Phone 217-562-2143 · Fax 217-562-2251
Authorized official
Katrina Casner
Coo
2175622131
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.