Edith Gloria M. Panopio, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

1200 South First Ave
Hines, IL 60141-7000

Phone

(708) 338-7048

Fax

(708) 338-7233

NPI assigned

Sep 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elisabeth Ludeman Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Park Forest, IL
  • NPI 1992841480
  NPD (past)
• Illinois Department of Human Services

  • Intellectual Disabilities Intermediate Care Facility
  • Kankakee, IL
  • NPI 1821136821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124125661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SOUTH FIRST AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601417000",
            "telephone_number": "708-338-7048",
            "fax_number": "708-338-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH FIRST AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601417000",
            "telephone_number": "708-338-7048",
            "fax_number": "708-338-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOPIO",
        "first_name": "EDITH",
        "middle_name": "GLORIA M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Rani Palla, PHARMD
• Leah Ladera Paluca
• Oksana M Paly, D.D.S
• Barbara Pamp, PH.D.
• Dahryl Ferrer Pangilinan
• Dina Pansoy-Mainit
• Elizabeth Pappano, M.D.
• Maria Bella Par
• Ramadevi Parachuri, M.D
• Mini Parackal

• Family Medicine Physician in Hines, IL
• Providers in Hines, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.