Individual
MISS SARAH TIERNEY MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4400 W 95TH ST, SUITE 413, OAK LAWN, IL 60453-2654
(708) 346-4055
(708) 499-0948
Mailing address
4400 W 95TH ST, SUITE 413, OAK LAWN, IL 60453-2654
(708) 346-4055
(708) 499-0948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006078
IL
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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