Jessica Corrine Panagopoulos, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041458135 Issued in IL

Practice address

210 Glendale Rd
Buffalo Grove, IL 60089-2130

Phone

(224) 607-2791

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1982291704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GLENDALE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GLENDALE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892130",
            "telephone_number": "224-607-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAGOPOULOS",
        "first_name": "JESSICA",
        "middle_name": "CORRINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041458135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iurii Padynich
• Steve K Paek, D.D.S.
• Paige Zivin
• Susan Paik, PHARMD
• Mimoza Paloj
• Paige Catherine Panfil, OTR/L
• Juliana Stoyanova Panova, PSY.D.
• David P Papworth, D.D.S.
• Katherine Lee Pardun, LSW
• Shrey Parikh, OTR/L

• Registered Nurse in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.