Christian Joy Lazaro Pangan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022797 Issued in IL

Practice address

306 Chick Evans St
Bolingbrook, IL 60490

Phone

(630) 456-0389

NPI assigned

Aug 9, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609391812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CHICK EVANS ST",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902075",
            "telephone_number": "630-456-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CHICK EVANS ST",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60490",
            "telephone_number": "630-456-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGAN",
        "first_name": "CHRISTIAN JOY",
        "middle_name": "LAZARO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022797",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Chulseung Paik, MD
• Pain & Spine Institute, LLC
• Riddhi Pakrasi, M.D.
• Jenna Rose Palafox, RN
• Candace Palmer, M.S. CCC-SLP
• Jason Panick, DPT
• Ann Panicker, PHARM.D
• Sumitha V Panicker, M.D.
• Poornima Anil Panjwani, PA-C
• George Peter Papadopoulos, DC, ATC/L, RKT

• Physical Therapist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.