Manjooran, M.D., Elizabeth D

Manjooran, M.D., Elizabeth D is an individual health care provider with primary practice located at 1595 E Oakton St , Des Plaines IL 60018-2120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Manjooran, M.D., Elizabeth D can be contacted via phone (847) 375-0707.

Contact Information

Primary practice address
1595 E Oakton St Des Plaines IL 60018-2120
Fax: (847) 375-0808
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36087868 Illinois

Profile Details

NPI number 1063575397
LBN Legal business name Manjooran, M.D., Elizabeth D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Sep 23rd, 2011 - about 14 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 1063575397 NPPES
Illinois MEDICAID 36087868

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