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NPI Profile for LYLE PAHNKE in MOUNT VERNON, IL.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI Number | 1770538225 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/23/2006 | |
| Last updated | 04/15/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LYLE PAHNKE
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LYLE PAHNKE, MD