Provider Demographics
NPI:1669492567
Name:CORE CONTROL, LLC
Entity Type:Organization
Organization Name:CORE CONTROL, LLC
Other - Org Name:ERINN E. PANVENO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:ERINN
Authorized Official - Middle Name:E
Authorized Official - Last Name:PANVENO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, CSCS
Authorized Official - Phone:312-371-5707
Mailing Address - Street 1:2003 N HOYNE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-4522
Mailing Address - Country:US
Mailing Address - Phone:312-371-5707
Mailing Address - Fax:773-486-9345
Practice Address - Street 1:2003 N HOYNE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-4522
Practice Address - Country:US
Practice Address - Phone:312-371-5707
Practice Address - Fax:773-486-9345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-0122952251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty