Individual
MANFRED JAMES PYKA
Active
Individual
MANFRED JAMES PYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036087870
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087870
—
IL
01
—
03687870
MEDICAID
IL
01
—
060051271
RAILROAD MEDICARE
—
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400182673
MEDICARE PTAN (INDVIDUAL)
IL
Enumeration date
05/13/2006
Last updated
07/15/2024
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