Individual
ROBIN L MANIURSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2553
(309) 655-2602
Mailing address
624 NORTHERN OAKS DR, GROVELAND, IL 61535-9607
(201) 207-3303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01059253A
IN
207P00000X
Emergency Medicine Physician
Primary
036118190
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01059253A
IN LICENSE
IN
01
—
01059253B
CSR
IN
05
—
036118190
—
IL
05
—
1508977133
—
IL
05
—
200330690
—
IN
01
—
4622394
BCBS
NC
Enumeration date
08/31/2006
Last updated
11/24/2025
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