| Organization Name: | PANA OB-GYN |
| NPI Number: | 1003932765 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HWA-LONG CHEN (PRESIDENT) |
| Mailing Address: | 115 E Pleasant St Taylorville |
| State: | IL US |
| Postal Code: | 625681560 |
| Phone Number: | 2172877477 |
| Fax Number: | 2172877511 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |