Individual
DR. ANETTE K. MNABHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
115 N MAIN ST, MONTGOMERY, IL 60538-1298
(630) 801-8773
(630) 264-6734
Mailing address
115 N MAIN ST, MONTGOMERY, IL 60538-1298
(630) 801-8773
(630) 264-6734
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
036-103460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4727796
BLUE CROSS
IL
Enumeration date
02/15/2007
Last updated
07/14/2010
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