Man, Manfred P.
Man, Manfred P. is an individual health care provider with primary practice located at 1445 N Hunt Club Rd Suite 304, Gurnee IL 60031-2603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Man, Manfred P. can be contacted via phone (847) 588-0100.Contact Information
Primary practice address
1445 N Hunt Club Rd Suite 304
Gurnee IL 60031-2603
Phone: (847) 588-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036083233 | Illinois |
Profile Details
| NPI number | 1154381366 |
|---|---|
| LBN Legal business name | Man, Manfred P. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jun 28th, 2013 - about 13 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 | 1154381366 | NPPES |
| Illinois | MEDICAID | 036083233 |
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