Individual
MR. JOEL U MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 W 127TH ST, STE 108, PALOS HEIGHTS, IL 60463
(708) 371-7838
(708) 371-7839
Mailing address
6420 W 127TH ST, STE 108, PALOS HEIGHTS, IL 60463
(708) 371-7838
(708) 371-7839
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036043316
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043316
—
IL
01
—
182910098
RR MED
IL
01
—
21624918
BCBS
IL
Enumeration date
06/15/2006
Last updated
09/13/2011
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