Individual
MANALI BARUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
912 S WOOD ST, 451N NPI, MC 799, CHICAGO, IL 60612-4300
(312) 996-4842
(312) 996-9018
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-112567
IL
Other
Enumeration date
08/14/2006
Last updated
02/09/2009
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