Organization
RABIA MANZOOR MD LTD
Active
Parent organization
S CORPORATION
Other names
kid care doctors
Organization subpart
Yes
Provider details
NPI number
Legal business name
S CORPORATION
Authorized official
RABIA MANZOOR MD (DIRECTOR)
(317) 417-5545
Entity
Organization
Contact information
Practice address
2254 S CICERO AVE, CHICAGO, IL 60804-2411
(708) 222-9170
Mailing address
1997 DIVINE DR, ROCKFORD, IL 61107-5508
(317) 417-5545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036121105
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10900284
—
IL
Enumeration date
09/05/2012
Last updated
09/05/2012
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