Dimitra Panagakis, APN
Individual provider Active NPI Family Nurse Practitioner · Kildeer, IL
NPI 1578099347 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1578099347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209015270 (IL)
- Practice address
- 20836 N Buffalo Run
Kildeer, IL 60047-8532 - Phone
- (847) 372-0614
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015270 | IL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209015270 | IL | Yes |
Addresses
Primary practice location
20836 N Buffalo Run
Kildeer, IL 60047-8532
Mailing address
20836 N Buffalo Run
Kildeer, IL 60047-8532
Phone (847) 372-0614
Other providers in Kildeer, IL
- Medical Testing Inc
- Gillian Messinger
- William Henry Neal
- Northwest Community Health Services Inc
- Jaime Rebecca Obszanski
- Krishna Patel
- Vasiliki Pavlou
- Perlin Consulting
- Jack V. Pinto Jr.
- Arlyn Joy G Quitevis
All providers in Kildeer, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.