Individual
ARTURO SANTIAGO MANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 E STATE ST FL 8, ROCKFORD, IL 61104
(779) 696-9120
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036061421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061421
—
IL
01
—
10100644
BC/BS
—
Enumeration date
08/08/2006
Last updated
07/28/2021
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