Individual
DR. DAVID MANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 LAKE ST STE 125B, OAK PARK, IL 60301-1015
(708) 334-8075
Mailing address
1100 LAKE ST STE 260, OAK PARK, IL 60301-1095
(708) 334-8075
(708) 419-2176
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036093261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093261
—
IL
Enumeration date
08/04/2005
Last updated
06/23/2025
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