Manrique, Luis A
Manrique, Luis A is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Manrique, Luis A can be contacted via phone (630) 933-5518.Contact Information
Primary practice address
25 N Winfield Rd
Winfield IL 60190-1295
Phone: (630) 933-5518
Fax: (630) 933-4168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036110692 | Illinois |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 036110692 | Illinois |
Profile Details
| NPI number | 1245257062 |
|---|---|
| LBN Legal business name | Manrique, Luis A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | May 14th, 2013 - about 11 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 | 1245257062 | NPPES |
| Other | CA4748 | MEDICARE RAILROAD (GROUP) | |
| Other | P00924096 | MEDICARE RAILROAD (GROUP) | |
| Other | T01421 | MEDICARE RAILROAD (GROUP) | |
| MEDICAID | 036110692 | MEDICARE RAILROAD (GROUP) | |
| Other | 206147 | MEDICARE RAILROAD (GROUP) |
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