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
Fax: (708) 873-9607
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174619753 NPPES
Illinois MEDICAID 036093168

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