Individual
CLARIBEL RAYMUNDO MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP-BC
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(773) 293-5331
Mailing address
2650 RIDGE AVE # 4210, EVANSTON, IL 60201-1700
(847) 570-1010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209007118
IL
Other
Enumeration date
07/29/2009
Last updated
05/29/2019
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