Forefront Adult & Pediatric Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

042-618128 Issued in IL

Legal business name

FOREFRONT ADULT & PEDIATRIC CARE

Practice address

1938 E Lincoln Hwy Ste 106
New Lenox, IL 60451-3927

Phone

(815) 485-8380

Fax

(815) 485-1116

NPI assigned

May 11, 2007

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul A Panzica, M.D.

Title

Business Owner

Phone

(815) 485-8380

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Forefront Adult Pediatric Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Forefront Adult & Pediatric Care, S.C.

  • Primary Care Clinic/Center
  • Mokena, IL
  • NPI 1073762555
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy L Panzica, LCPC

  • Mental Health Counselor
  • Homewood, IL
  • NPI 1093280133
  NPD

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1467667659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 106",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513927",
            "telephone_number": "815-485-8380",
            "fax_number": "815-485-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 106",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513927",
            "telephone_number": "815-485-8380",
            "fax_number": "815-485-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT ADULT & PEDIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "PANZICA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "815-485-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "042-618128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foley Physical Medicine LLC
• Nathan Lee Foley, D.C.
• Sophie Follenweider
• Foot and Wound Institute LLC
• Natalie Ann Forberg, BCBA
• Forefront Dermatology, S.C. (Premier Dermatology)
• Forever Family Dental of New Lenox
• Katherine Anne Formentini
• Samantha R Formento
• Nicholas Forsythe, LAT

• Primary Care Clinic/Center in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.