Organization
MANHATTAN MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD BADESCU MD (PHYSICIAN)
(815) 464-5986
Entity
Organization
Contact information
Practice address
440 S STATE ST, MANHATTAN, IL 60442-8504
(847) 429-0571
(847) 429-0570
Mailing address
440 S STATE ST, MANHATTAN, IL 60442-8504
(847) 429-0571
(847) 429-0570
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
036091635
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932128
BC/BS
IL
05
—
0360916351
—
IL
01
—
14D0976033
CLIA
IL
Enumeration date
02/15/2007
Last updated
03/07/2023
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