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Individual

MANUEL S MESIROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18425 W WEST CREEK DR, STE F, TINLEY PARK, IL 60477-6767
(708) 444-8300
(708) 444-8301
Mailing address
18425 W WEST CREEK DR, STE F, TINLEY PARK, IL 60477-6767
(708) 444-8300
(708) 444-8301

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036054932
IL

Other

Enumeration date
02/27/2006
Last updated
12/07/2021
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