Manquen, Louis J

Manquen, Louis J is an individual health care provider with primary practice located at 801 S Milwaukee Road , Libertyville IL 60048-3199. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Manquen, Louis J can be contacted via phone (847) 990-5389.

Contact Information

Primary practice address
801 S Milwaukee Road Libertyville IL 60048-3199
Phone: (847) 990-5389
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036108419 Illinois

Profile Details

NPI number 1356367718
LBN Legal business name Manquen, Louis J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 6th, 2022 - about 2 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 1356367718 NPPES
Illinois MEDICAID 0361084191

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