Individual
LISA KURIEN MANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 SUMMIT ST, ELGIN, IL 60120-4362
(847) 687-7024
Mailing address
1015 SUMMIT ST, ELGIN, IL 60120-4362
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1578646279
IL
Other
Enumeration date
03/31/2014
Last updated
12/17/2021
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