Provider Demographics
NPI:1447272729
Name:PANVENO, ERINN ELIZABETH (DPT)
Entity type:Individual
Prefix:DR
First Name:ERINN
Middle Name:ELIZABETH
Last Name:PANVENO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2056 W ARMITAGE AVE
Mailing Address - Street 2:UNIT B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-6201
Mailing Address - Country:US
Mailing Address - Phone:312-371-5707
Mailing Address - Fax:773-486-9345
Practice Address - Street 1:2056 W ARMITAGE AVE
Practice Address - Street 2:UNIT B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-6201
Practice Address - Country:US
Practice Address - Phone:312-371-5707
Practice Address - Fax:773-486-9345
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic