Mismanos, Teresita

Mismanos, Teresita is an individual health care provider with primary practice located at 224 Clarendon Dr. , Round Lake Beach IL 60073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mismanos, Teresita can be contacted via phone (847) 984-5100.

Contact Information

Primary practice address
224 Clarendon Dr. Round Lake Beach IL 60073
Phone: (847) 984-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1558346320
LBN Legal business name Mismanos, Teresita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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