Manno, David
Manno, David is an individual health care provider with primary practice located at 1100 Lake St Ste 125B , Oak Park IL 60301-1015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Manno, David can be contacted via phone (708) 334-8075.Contact Information
Primary practice address
1100 Lake St Ste 125B
Oak Park IL 60301-1015
Phone: (708) 334-8075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036093261 | Illinois |
Profile Details
| NPI number | 1215938857 |
|---|---|
| LBN Legal business name | Manno, David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | Aug 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215938857 | NPPES |
| Illinois | MEDICAID | 036093261 |
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