Search › Illinois › 122300000X

Lary Pane, DDS

NPI 1235291287 · on the registry since 2006

Practice

Address
4420 St Charles Road
Bellwood, IL 60104
Phone
(708) 547-7160
Fax
(630) 426-0211

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois