Individual
ANNA MANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(248) 701-7523
Mailing address
1047 W MADISON ST, CHICAGO, IL 60607-2196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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