Individual
MANISH D PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4111 W 26TH ST, CHICAGO, IL 60623-4313
(773) 542-1111
(773) 542-7100
Mailing address
703 E FULLERTON AVE, UNIT 107, GLENDALE HEIGHTS, IL 60139-2917
(630) 965-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009513
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001637989
BCBS
IL
05
—
038009513
—
IL
Enumeration date
06/21/2006
Last updated
01/14/2008
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