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Individual
DR. JAMES E MANINT
Active
Individual
DR. JAMES E MANINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-058029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-058029
STATE LICENSE #
IL
05
—
36058029
—
IL
Enumeration date
10/28/2005
Last updated
04/07/2025
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