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Dr. Nicholas Manticas, MD
Student in an Organized Health Care Education/Training Program in Mchenry, Illinois
NPI 1376283945

Nicholas Manticas is a Student in an Organized Health Care Education/Training Program based in Mchenry, IL. Nicholas Manticas practices in Mchenry, IL and has the professional credentials of MD. The NPI Number for Nicholas Manticas is 1376283945 and holds a License No. (Illinois).

The current practice location address for Nicholas Manticas is 4201 W Medical Center Dr, Mchenry, IL and can be reached out via phone at 815-344-5000.

Location: 4201 W Medical Center Dr, Mchenry, IL, 60050-8419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376283945
Provider Name
Nicholas Manticas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4201 W Medical Center Dr, Mchenry, IL, 60050-8419
Phone Number
815-344-5000
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 W Medical Center Dr
City
Mchenry
State
Illinois
Zip
60050-8409
Phone Number
815-344-5000
Fax Number
person
Provider Business Mailing Address Details
Address
4201 W Medical Center Dr
City
Mchenry
State
Illinois
Zip
60050-8409
Phone Number
815-344-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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