Individual
JACOB GEORGE MANSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PARKWAY, RUSH, CHICAGO, IL 60612
(312) 942-5000
Mailing address
3009 S QUINN ST APT 1, CHICAGO, IL 60608-5810
(608) 797-7756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125067527
IL
2084N0400X
Neurology Physician
Primary
67683
MN
Other
Enumeration date
06/15/2015
Last updated
06/29/2020
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