Individual
NICHOLAS MANOLITSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 907-3032
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 358-0150
(515) 358-0149
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036148298
IL
208100000X
Physical Medicine & Rehabilitation Physician
40688
IA
208D00000X
General Practice Physician
C155514
CA
Other
Enumeration date
06/26/2008
Last updated
12/22/2020
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