Alva, Manuel E.

Alva, Manuel E. is an individual health care provider with primary practice located at 6832 Ogden Ave , Berwyn IL 60402-3643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Alva, Manuel E. can be contacted via phone (708) 795-0890.

Contact Information

Primary practice address
6832 Ogden Ave Berwyn IL 60402-3643
Phone: (708) 795-0890
Fax: (708) 795-1521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036085880 Illinois

Profile Details

NPI number 1255405452
LBN Legal business name Alva, Manuel E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Sep 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255405452 NPPES
Illinois Other 12259 AMERIGROUP
Illinois MEDICAID 036085880 AMERIGROUP
Illinois Other 2232097 AMERIGROUP
Illinois Other P00472782 AMERIGROUP

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