Provider Demographics
NPI:1053885368
Name:MYNPCARE LLC
Entity type:Organization
Organization Name:MYNPCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LADY MAY
Authorized Official - Middle Name:ORACION
Authorized Official - Last Name:PANELO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:847-674-5224
Mailing Address - Street 1:68 BROOKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-2311
Mailing Address - Country:US
Mailing Address - Phone:847-674-5224
Mailing Address - Fax:
Practice Address - Street 1:68 BROOKSTONE DR
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-2311
Practice Address - Country:US
Practice Address - Phone:847-674-5224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-20
Last Update Date:2019-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty