Organization
MANNY OT & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL HERRERA OT (OWNER OCCUPATIONAL THERAPIST)
(847) 740-6229
Entity
Organization
Contact information
Practice address
26575 W COMMERCE DR, UNIT 506, VOLO, IL 60073-9659
(847) 740-6229
(847) 740-6447
Mailing address
26575 W COMMERCE DR, UNIT 506, VOLO, IL 60073-9659
(847) 740-6229
(847) 740-6447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BLUE SHIELD
04932587
IL
Enumeration date
04/17/2007
Last updated
08/22/2020
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