Organization
M P M FAMILY HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANFRED P MAN D. O. (PRESIDENT)
(847) 856-8128
Entity
Organization
Contact information
Practice address
1445 N HUNT CLUB RD, SUITE 304, GURNEE, IL 60031-2603
(847) 383-5428
Mailing address
1445 N HUNT CLUB RD, SUITE 304, GURNEE, IL 60031-2603
(847) 856-8128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
07/18/2007
Last updated
10/18/2007
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