Individual
MANJULA KHANDELWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PO BOX 3894, OAK BROOK, IL 60522-3894
(708) 409-5066
(708) 409-5072
Mailing address
PO BOX 3894, OAK BROOK, IL 60522-3894
(708) 409-5066
(708) 409-5072
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-065807
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-065807
—
IL
Enumeration date
10/05/2006
Last updated
02/20/2019
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