Manolis, Evan T.
Manolis, Evan T. is an sole proprietor health care provider with primary practice located at 8760 W 159Th St Suite 204, Orland Park IL 60462-5395. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Manolis, Evan T. can be contacted via phone (708) 873-9600.Contact Information
Primary practice address
8760 W 159Th St Suite 204
Orland Park IL 60462-5395
Phone: (708) 873-9600
Fax: (708) 873-9607
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 036-093168 | Illinois |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 036-093168 | Illinois |
Profile Details
NPI number | 1174619753 |
---|---|
LBN Legal business name | Manolis, Evan T. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2006 |
Last updated | Nov 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174619753 | NPPES |
Illinois | MEDICAID | 036093168 |
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