Mann, Edward Philip
Mann, Edward Philip is an individual health care provider with primary practice located at 5850 W 111Th St , Chicago Ridge IL 60415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mann, Edward Philip can be contacted via phone (708) 425-2466.Contact Information
Primary practice address
5850 W 111Th St
Chicago Ridge IL 60415
Phone: (708) 425-2466
Fax: (708) 425-4796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036043622 | Illinois |
Profile Details
| NPI number | 1306909148 |
|---|---|
| LBN Legal business name | Mann, Edward Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | May 13th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306909148 | NPPES |
| Illinois | MEDICAID | 036043622 |
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