Active NPI
Forefront Adult & Pediatric Care, S.C.
- Primary Care Clinic/Center
- Mokena, IL
National Provider Identifier
1073762555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FOREFRONT ADULT & PEDIATRIC CARE, S.C.
- Practice address
- 19621 La Grange Rd
Mokena, IL 60448-9360 - Phone
- (708) 478-8380
- Fax
- (708) 478-3036
- NPI assigned
- Sep 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Antony Panzica, MD
- Title
- Physician/Owner
- Phone
- (708) 478-8380
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036095398 | IL | |
| Pediatrics Physician | 208000000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
19621 La Grange Rd
Mokena, IL 60448-9360
Mailing address
19621 S la Grange Rd
Mokena, IL 60448-9360
Phone (708) 478-8380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095398 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Forefront Adult Pediatric Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- New Lenox, IL
- NPI 1467667659
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- New Lenox, IL
- NPI 1073167250
-
- Mental Health Counselor
- Homewood, IL
- NPI 1093280133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1073762555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19621 S LA GRANGE RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604489360",
"telephone_number": "708-478-8380",
"fax_number": "708-478-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19621 LA GRANGE RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604489360",
"telephone_number": "708-478-8380",
"fax_number": "708-478-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREFRONT ADULT & PEDIATRIC CARE, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-09",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "PANZICA",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "ANTONY",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "708-478-8380",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036095398",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095398",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.