Organization
ANETTE K. MNABHI D.O. P.C.
Active
Other names
Synergy Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANETTE K MNABHI D.O. (PRESIDENT)
(630) 801-8773
Entity
Organization
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
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4727796
BLUE CROSS
IL
Enumeration date
11/30/2007
Last updated
11/30/2007
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