Organization
MANI-SANA,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUSALINA C. MUNTEAN-MINCU M.D. (PRESIDENT)
(847) 405-9822
Entity
Organization
Contact information
Practice address
6142 N CALIFORNIA AVE, CHICAGO, IL 60659-2687
(848) 828-3594
Mailing address
1124 FOREST AVE, DEERFIELD, IL 60015-2923
(847) 405-9822
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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