Individual
MR. MANUCHER MICHAEL FORUTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S WASHINGTON ST, SUITE 300, NAPERVILLE, IL 60540-6667
(630) 717-7000
(630) 717-7011
Mailing address
PO BOX 3911, LISLE, IL 60532-8911
(630) 717-7000
(630) 717-7011
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4029503
AETNA
—
01
—
DC6584
MEDICARE RR
—
01
—
P00182546
MEDICARE RR
—
Enumeration date
05/09/2007
Last updated
07/08/2007
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