Organization Active NPI

Core Control, LLC

  • Orthopedic Physical Therapist
  • Chicago, IL
National Provider Identifier
1669492567
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070-012295 Issued in IL
Legal business name
CORE CONTROL, LLC
Practice address
2003 N Hoyne Ave
Chicago, IL 60647-4522
Phone
(312) 371-5707
Fax
(773) 486-9345
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Erinn E. Panveno, DPT, CSCS
Title
Doctor of Physical Therapy
Phone
(312) 371-5707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 070-012295 IL Primary

Addresses

Primary practice location

2003 N Hoyne Ave
Chicago, IL 60647-4522

Mailing address

2003 N Hoyne Ave
Chicago, IL 60647-4522
Phone (312) 371-5707

Other names 1

  • Erinn E. Panveno Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1669492567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 N HOYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474522",
            "telephone_number": "312-371-5707",
            "fax_number": "773-486-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 N HOYNE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474522",
            "telephone_number": "312-371-5707",
            "fax_number": "773-486-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CONTROL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "PANVENO",
        "authorized_official_first_name": "ERINN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "312-371-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070-012295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erinn E. Panveno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.