Mante, Dave

Mante, Dave is an individual health care provider with primary practice located at 1300 N Highland Ave Suite 2, Aurora IL 60506-1451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mante, Dave can be contacted via phone (630) 897-9606.

Contact Information

Primary practice address
1300 N Highland Ave Suite 2 Aurora IL 60506-1451
Phone: (630) 897-9606
Fax: (630) 897-9625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036085384 Illinois

Profile Details

NPI number 1487701082
LBN Legal business name Mante, Dave
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 16th, 2014 - about 10 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 1487701082 NPPES
Other 001630376 BLUE CROSS BLUE SHIELD

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