Individual
SATYA P MANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
626 BETHANY RD, DEKALB, IL 60115-4939
(815) 748-8993
Mailing address
6910 S MADISON ST, WILLOWBROOK, IL 60527-5504
(815) 748-8993
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036088418
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036088418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088418
—
IL
Enumeration date
06/30/2005
Last updated
10/09/2025
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