Individual
MANUEL E. ALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6832 OGDEN AVE, BERWYN, IL 60402-3643
(708) 795-0890
(708) 795-1521
Mailing address
5625 BENTLEY AVE, CLARENDON HILLS, IL 60514-1509
(630) 325-2655
(630) 325-2993
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036085880
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085880
—
IL
01
—
12259
AMERIGROUP
IL
01
—
2232097
BLUE CROSS BLUE SHIELD
IL
01
—
P00472782
RAILROAD MEDICARE
IL
Enumeration date
11/20/2006
Last updated
09/21/2023
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