Individual
MISS ANN RENEE MANIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2701 PATRIOT BLVD, GLENVIEW, IL 60026-8039
(847) 724-4536
Mailing address
2051 ELDORADO DR, GENEVA, IL 60134-4326
(630) 363-0466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006151
IL
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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