Vladimir V Panine, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036094089 Issued in IL

Practice address

875 N Michigan Ave Ste 2727
Chicago, IL 60611-1822

Phone

(847) 856-2600

Fax

(847) 574-5887

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1255446852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE STE 2727",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111822",
            "telephone_number": "847-856-2600",
            "fax_number": "847-574-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N MICHIGAN AVE STE 2727",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111822",
            "telephone_number": "847-856-2600",
            "fax_number": "847-574-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANINE",
        "first_name": "VLADIMIR",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "36094089",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036094089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11208435",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Panganiban
• Jessica Paniagua, MSW, LCSW
• Alyssa Panici, M.A., CF-SLP
• Shipra Panicker, LCSW
• Jeanine Marie Panico, OTD
• Tyra Monay Panion
• Silvia Z Panitch, M.D.
• William R Panje, MD
• Anjana Sahani Panjwani, M.D.
• Sameer Panjwani, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.