Thaddeus Manczko M.D.

NPI 1073553004 - Emergency Medicine - 207PE0004X

NPI Details
NPI 1073553004
Gender Male
Enumeration Date 06/07/2006
Last Updated 06/03/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
350 N WALL ST
KANKAKEE IL, 60901-2901, US
Phone (815) 933-1671
Fax
Business Location
2000 GREEN RD
SUITE 300
ANN ARBOR MI, 48105-1598, US
Phone (734) 995-3764
Fax
Toxanomy
Taxonomy Code 207PE0004X
License State Illinois
License Number 036-100560
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According to our database, Dr. Thaddeus Manczko M.D. NPI is 1073553004, taxonomy code is 207PE0004X and license number is 036-100560, license state is located at Illinois. Thaddeus Manczko M.D. physically located at 350 N Wall St, Kankakee IL, 60901-2901. NPI Number Thaddeus Manczko M.D. has the Individual type.

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1073553004 NPI number is provided on an as is basis without warranty of any kind. 1073553004 is maintained by the National Plan & Provider Enumeration System. The contents of Thaddeus Manczko M.D. are for informational purposes only.