Organization
CESAR G. MANIQUIS, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESAR G MANIQUIS MD (PRESIDENT/OWNER)
(847) 362-5650
Entity
Organization
Contact information
Practice address
303 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2898
(847) 362-5650
(847) 362-5843
Mailing address
303 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2898
(847) 362-5650
(847) 362-5843
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3648767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048767
—
IL
Enumeration date
04/21/2010
Last updated
09/05/2012
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