Individual provider · Type 1 NPI
Ma Teresa Datoon Panganiban, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Glendale Heights, IL
NPI number
1558036293
Active
Practice location
1920 Aspen Ln
Glendale Heights, IL 60139-2139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209020448 (IL) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1558036293
Ma Teresa Datoon Panganiban, NURSE PRACTITIONER's National Provider Identifier is 1558036293, issued on Aug 13, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Glendale Heights, IL. The record was last updated on Aug 13, 2021.