Individual
MANAL ALOTAIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
710 N FAIRBANKS CT, CHICAGO, IL 60611-3013
(312) 926-4188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036152636
IL
207RN0300X
Nephrology Physician
NA
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
06/28/2020
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