Mante, Josephine
Mante, Josephine is an individual health care provider with primary practice located at 1300 N Highland Ave Suite 2, Aurora IL 60506-1451. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Mante, Josephine 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 036088055 | Illinois |
Profile Details
| NPI number | 1427105022 |
|---|---|
| LBN Legal business name | Mante, Josephine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Oct 29th, 2007 - about 17 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 | 1427105022 | NPPES |
| Illinois | Other | 001630376 | BLUE CROSS BLUE SHIELD |
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