SearchIllinois225100000X

Christian Joy Pangan

NPI 1609391812 · on the registry since 2017 · sole proprietor

Practice

Address
306 Chick Evans St
Bolingbrook, IL 60490
Phone
(630) 456-0389

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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