Individual
MS. EMILY MANCEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.421470
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.022247
IL
Other
Enumeration date
09/17/2020
Last updated
02/10/2021
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