Individual
EDWARD PHILIP MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5850 W 111TH ST, CHICAGO RIDGE, IL 60415
(708) 425-2466
(708) 425-4796
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9836
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036043622
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043622
—
IL
Enumeration date
12/19/2006
Last updated
05/13/2008
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