Individual
JEFFREY MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DSP
Contact information
Practice address
3145 W PRATT BLVD, CHICAGO, IL 60645-4125
(773) 467-3700
Mailing address
3145 W PRATT BLVD, CHICAGO, IL 60645-4125
(773) 467-3700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
IL
Enumeration date
01/15/2016
Last updated
01/15/2016
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