Individual
JANELLAROSE VANESSA BUNDALIAN MANALANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 355-6281
Mailing address
8433 MASON AVE, MORTON GROVE, IL 60053-3371
(224) 433-9144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041457545
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030381
IL
Other
Enumeration date
08/26/2022
Last updated
02/18/2025
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