Provider Demographics
NPI:1669557609
Name:PANIOTTE, GEORGE EMMANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:EMMANUEL
Last Name:PANIOTTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:EMMANUEL
Other - Last Name:PANIOTTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:20 NORTH TOWER RD. APT. 9-A
Mailing Address - Street 2:APT. 9-A
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1137
Mailing Address - Country:US
Mailing Address - Phone:630-261-9074
Mailing Address - Fax:708-202-2024
Practice Address - Street 1:20 N TOWER RD APT 9A
Practice Address - Street 2:APT. 9-A
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1137
Practice Address - Country:US
Practice Address - Phone:630-261-9074
Practice Address - Fax:708-202-2024
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry