Individual
MR. MANOUCHEHR IMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 N GARLAND CT, #2605, CHICAGO, IL 60602
(312) 641-1156
(312) 641-1175
Mailing address
130 N GARLAND CT, #2605, CHICAGO, IL 60602
(312) 641-1156
(312) 641-1175
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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