William R Panje, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

036047409 Issued in IL

Practice address

1725 W Harrison St
Suite 340
Chicago, IL 60612-3841

Phone

(312) 563-9805

Fax

(312) 563-0165

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• University Head and Neck Associates, SC

  • Otolaryngology Physician
  • Downers Grove, IL
  • NPI 1598755456
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1174523591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755803",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-563-9805",
            "fax_number": "312-563-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANJE",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036047409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001629253",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shipra Panicker, LCSW
• Jeanine Marie Panico, OTD
• Vladimir V Panine, MD
• Tyra Monay Panion
• Silvia Z Panitch, M.D.
• Anjana Sahani Panjwani, M.D.
• Sameer Panjwani, M.D.
• Jennifer Drake Pankau, LICSW
• Evan James Panken, MD
• Ashley Nicole Pankey

• Otolaryngology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.