Iglesias, Manuel C.
Iglesias, Manuel C. is an sole proprietor health care provider with primary practice located at 1225 W Lake St , Melrose Park IL 60160-4039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Iglesias, Manuel C. can be contacted via phone (708) 681-3200.Contact Information
Primary practice address
1225 W Lake St
Melrose Park IL 60160-4039
Phone: (708) 681-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036047918 | Illinois |
Profile Details
| NPI number | 1578562351 |
|---|---|
| LBN Legal business name | Iglesias, Manuel C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jan 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578562351 | NPPES |
| Illinois | MEDICAID | 036047918 | |
| Illinois | Other | 21607825 |
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