Individual
MANJU DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
115 E SOUTH ST, UNIT F, PLANO, IL 60545-1417
(630) 552-7166
(630) 552-7168
Mailing address
115 E SOUTH ST, UNIT F, PLANO, IL 60545-1417
(630) 552-7166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011424
IL
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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