Individual
ANITA CHANDRATHIL MANOGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 N RANDALL RD, SHERMAN HOSP STE 1-2150, ELGIN, IL 60123-2300
(224) 773-8975
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036-108204
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124176987
INDIVIDUAL NPI
—
Enumeration date
01/08/2007
Last updated
10/16/2025
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