Individual
EDWARD M MANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST, CHICAGO, IL 60611-5975
(312) 695-7950
Mailing address
625 N MICHIGAN AVE STE 1150, CHICAGO, IL 60611-3110
(312) 503-6192
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
036141207
IL
2084V0102X
Vascular Neurology Physician
036141207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236933800
—
MN
Enumeration date
02/03/2006
Last updated
10/22/2018
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