Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. J MICHAEL PANUSKA, MD, MPH
ActiveDR. J MICHAEL PANUSKA, MD, MPH is a Preventive Medicine healthcare provider located in BOURBONNAIS, Illinois. NPI 1316002264 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1316002264
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2006 (19.621043148577 yrs)
- Last Updated
- Dec 22, 2021
- Licenses
-
036-072073 (IL)036-072073 (IL)
Practice Information
- Address
-
230 JOHN CASEY RD.BOURBONNAIS, IL, 60914Browse IL providers · Browse ZIP 60914
- Phone
- 8159378788
- Primary Specialty
-
Preventive Medicine
2083P0500X
- Additional Specialty
- Preventive Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.