1770538225 Lyle D Pahnke Jr., MD
Vascular Surgery Physician
Active
Basic Information
- Full Name
- Lyle D Pahnke Jr., MD
- Gender
- Male
- Enumeration Date
- May 23, 2006
- Last Update
- April 15, 2022
Practice Location
- Address
- 400 N PLEASANT AVE
CENTRALIA, IL 628013056 - Phone
- (618) 436-6318
- Fax
- (618) 436-6386
Mailing Address
- Address
- 400 N PLEASANT AVE
CENTRALIA, IL 628013056 - Phone
- (618) 436-6318
- Fax
- (618) 436-6386
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Family Medicine | 036089773 | IL | No |
| Surgery Physician | 208600000X | Surgery | 036089773 | IL | No |
| Vascular Surgery Physician Vascular Surgery | 2086S0129X | Surgery | 036089773 | IL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG2264 | 01 | IL | RR GROUP NUMBER |
| 207988 | 01 | IL | GROUP |
| 036089773 | 05 | IL | N/A |
| P00169541 | 01 | IL | RR MEDICARE NUMBER |
Additional Practice Locations
302 Broadway St
Mount Vernon, IL 628645116
Mount Vernon, IL 628645116
Phone: (618) 242-4750
Fax: (618) 242-7674
Frequently Asked Questions
What is Lyle D Pahnke Jr., MD's NPI number?
Lyle D Pahnke Jr., MD's NPI number is 1770538225.
Which doctor has NPI number 1770538225?
The doctor with NPI number 1770538225 is Lyle D Pahnke Jr., MD.
What is Lyle D Pahnke Jr., MD's practice address?
Lyle D Pahnke Jr., MD's practice address is 400 N PLEASANT AVE, CENTRALIA, IL, 628013056.
Which doctor practices at 400 N PLEASANT AVE, CENTRALIA, IL, 628013056?
Lyle D Pahnke Jr., MD practices at 400 N PLEASANT AVE, CENTRALIA, IL, 628013056.
What is Lyle D Pahnke Jr., MD's phone number?
Lyle D Pahnke Jr., MD's phone number is (618) 436-6318.
Who is (618) 436-6318?
(618) 436-6318 is the phone number for Lyle D Pahnke Jr., MD.
What is Lyle D Pahnke Jr., MD's specialty?
Lyle D Pahnke Jr., MD's specialty is Vascular Surgery Physician.
What type of doctor is Lyle D Pahnke Jr., MD?
Lyle D Pahnke Jr., MD is a Vascular Surgery Physician.
Is Lyle D Pahnke Jr., MD a Vascular Surgery?
Yes, Lyle D Pahnke Jr., MD is a Vascular Surgery.
Is Lyle D Pahnke Jr., MD still practicing?
Yes, Lyle D Pahnke Jr., MD is currently practicing.
Is Lyle D Pahnke Jr., MD accepting new patients?
Lyle D Pahnke Jr., MD may be accepting new patients. Please call their office at (618) 436-6318 to inquire about availability.
Is NPI 1770538225 still active?
Yes, NPI 1770538225 is currently active.
Where does Lyle D Pahnke Jr., MD practice?
Lyle D Pahnke Jr., MD practices in CENTRALIA, IL.
Is Lyle D Pahnke Jr., MD a male or female doctor?
Lyle D Pahnke Jr., MD is a male doctor.