Organization
MANI-SANA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSALINA C MUNTEAN-MINCU (MEDICAL DIRECTOR)
(847) 828-3594
Entity
Organization
Contact information
Practice address
5140 N CALIFORNIA AVE, SUITE 525, CHICAGO, IL 60625-3645
(773) 769-1400
(773) 334-3091
Mailing address
1124 FOREST AVE, DEERFIELD, IL 60015-2923
(847) 405-9822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036097673
IL
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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