Provider Information for 1528107950
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
LUANNE MANIACEK
Sex: Female
NPI: 1528107950
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528107950 | ||||||||||||
| Enumeration Date | 2007-02-05 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 665 LILLIE ST ELGIN, IL 60120-0000 United States Phone: 847-289-0312 | Fax: | ||||||||||||
| Primary Practice Address | 2050 LARKIN AVE. SUITE 202 ELGIN, IL 60123-0000 United States Phone: 847-697-2400 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|