Santiago, Manuel D
Santiago, Manuel D is an individual health care provider with primary practice located at 7638 W North Ave , Elmwood Park IL 60707-4157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Santiago, Manuel D can be contacted via phone (708) 452-4257.Contact Information
Primary practice address
7638 W North Ave
Elmwood Park IL 60707-4157
Phone: (708) 452-4257
Fax: (708) 452-4283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036082506 | Illinois |
Profile Details
| NPI number | 1154309821 |
|---|---|
| LBN Legal business name | Santiago, Manuel D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 1st, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154309821 | NPPES |
| Illinois | MEDICAID | 0360825061 |
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