Individual
MANUEL A DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTIC PHYSICI
Contact information
Practice address
707 W JEFFERSON ST, SUITE F, SHOREWOOD, IL 60404
(815) 725-8200
(815) 730-8576
Mailing address
707 W JEFFERSON ST, SUITE F, SHOREWOOD, IL 60404
(815) 725-8200
(815) 730-8576
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
IL
111NX0800X
Orthopedic Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336296359
NPI CORPORATION
—
01
—
211653
CORPORATION
—
01
—
9933246
BCBS
IL
Enumeration date
06/29/2007
Last updated
09/11/2025
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