Individual
JOLENE K MANUYAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 SALT CREEK LN STE 425, HINSDALE, IL 60521-8603
(312) 848-3533
Mailing address
12 SALT CREEK LN STE 425, HINSDALE, IL 60521-8603
(630) 789-2260
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020785
IL
Other
Enumeration date
03/27/2020
Last updated
03/28/2020
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