IndividualActive
J Panuska, MD, MPH
NPI 1316002264 · Preventive Medicine/Occupational Environmental Medicine Physician · Bourbonnais, IL
Provider details
- NPI number
- 1316002264
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 036-072073 (IL)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense 036-072073 (IL)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
230 John Casey Rd.
Bourbonnais, IL 60914
Phone: (815) 937-8788
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Cobb Blvd
Kankakee, IL 60901-5335
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2021-12-22
- Certified
- 2021-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.