Individual
DR. EVAN T. MANOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8760 W 159TH ST, SUITE 204, ORLAND PARK, IL 60462-5395
(708) 873-9600
(708) 873-9607
Mailing address
8760 W 159TH ST, SUITE 204, ORLAND PARK, IL 60462-5395
(708) 873-9600
(708) 873-9607
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
036-093168
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036-093168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093168
—
IL
Enumeration date
10/04/2006
Last updated
11/08/2011
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