NPIMap

Organization Active NPI

William Panje MD SC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tinley Park, IL
National Provider Identifier
1407098544
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
036047409 Issued in IL
Legal business name
WILLIAM PANJE MD SC
Practice address
6703 159TH St
Tinley Park, IL 60477-1781
Phone
(708) 798-6800
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
William Panje, M.D.
Title
President
Phone
(708) 798-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 036047409 IL Primary

Addresses

Primary practice location

6703 159TH St
Tinley Park, IL 60477-1781

Mailing address

PO Box 1180
Matteson, IL 60443-4180
Phone (708) 747-5850

Other identifiers 1

IdentifierTypeStateIssuer
0001629253OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

8651 W 159th St
Ste 4
Orland Park, IL 60462
Phone (708) 342-1800

6703 159th St
Tinley Park, IL 60477
Phone (708) 444-0600

6703 159th St
Ste 100
Tinley Park, IL 60477
Phone (708) 444-1530

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1407098544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604434180",
            "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": "6703 159TH ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771781",
            "telephone_number": "708-798-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PANJE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "PANJE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-798-6800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "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": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.