Individual
EILEEN L. MANOJLOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-5600
(708) 229-4105
Mailing address
2800 W 95TH STREET, EVERGREEN PARK, IL 60805-2735
(708) 229-5600
(708) 229-4105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.010117
IL
363L00000X
Nurse Practitioner
28253213A
IN
363LF0000X
Family Nurse Practitioner
Primary
209010117
IL
Other
Enumeration date
02/05/2013
Last updated
01/18/2022
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