Organization
MARISA AGUILA-MANALO, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISA AGUILA-MANALO M.D. (OWNER)
(773) 467-9925
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 312, CHICAGO, IL 60631-3745
(773) 467-9925
(773) 467-9938
Mailing address
7447 W TALCOTT AVE, SUITE 312, CHICAGO, IL 60631-3745
(773) 467-9925
(773) 467-9938
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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