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Individual

DR. DEBORAH C MANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1010 W LAKE ST STE 500, OAK PARK, IL 60301-1135
(708) 524-8600
(708) 524-8147
Mailing address
1010 W LAKE ST STE 500, OAK PARK, IL 60301-1135
(708) 524-8600
(708) 524-8147

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00222165
RAILROAD MEDICARE
IL
Enumeration date
02/20/2007
Last updated
03/06/2008
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