Iglesias, Manuel C.

Iglesias, Manuel C. is an sole proprietor health care provider with primary practice located at 1225 W Lake St , Melrose Park IL 60160-4039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Iglesias, Manuel C. can be contacted via phone (708) 681-3200.

Contact Information

Primary practice address
1225 W Lake St Melrose Park IL 60160-4039
Phone: (708) 681-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036047918 Illinois

Profile Details

NPI number 1578562351
LBN Legal business name Iglesias, Manuel C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Jan 15th, 2020 - about 4 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 1578562351 NPPES
Illinois MEDICAID 036047918
Illinois Other 21607825

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