Organization
PRECIOUS HEARTS PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH D MANJOORAN M.D. (PRESIDENT)
(847) 375-0707
Entity
Organization
Contact information
Practice address
1595 E OAKTON ST, DES PLAINES, IL 60018-2120
(847) 375-0707
(847) 375-0808
Mailing address
1595 E OAKTON ST, DES PLAINES, IL 60018-2120
(847) 375-0707
(847) 375-0808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036087868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087868
—
IL
01
—
1063575397
DR.MANJOORAN NPI
IL
01
—
91647858
BLUE CROSS PROVIDER
IL
Enumeration date
11/26/2007
Last updated
08/04/2011
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