Individual
DR. HEATHER NOELLE MANTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1318 CHICAGO AVE, EVANSTON, IL 60201-4725
(847) 475-4960
(847) 475-4966
Mailing address
1318 CHICAGO AVE, EVANSTON, IL 60201-4725
(847) 475-4960
(847) 475-4966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634925
BCBS PROVIDER #
IL
Enumeration date
11/01/2006
Last updated
07/09/2007
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