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Mani N Subramanian, MD
Specialist in Des Plaines, Illinois
NPI 1730163676

Mani N Subramanian is a Specialist based in Des Plaines, IL. Mani N Subramanian practices in Des Plaines, IL and has the professional credentials of MD. The NPI Number for Mani N Subramanian is 1730163676 and holds a License No. 036058679 (Illinois).

The current practice location address for Mani N Subramanian is 150 N River Rd, Des Plaines, IL and can be reached out via phone at 847-391-9877 and via fax at 847-391-9177.

Location: 150 N River Rd, Des Plaines, IL, 60016-3517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730163676
Provider Name
Mani N Subramanian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 N River Rd, Des Plaines, IL, 60016-3517
Phone Number
847-391-9877
Fax Number
847-391-9177
Provider Enumeration Date
12/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0004405317 01 IL AETNA
01627643 01 IL BLUE CROSS BLUE SHIELD
036058679 3 05 IL
110248785 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
150 N River Rd
City
Des Plaines
State
Illinois
Zip
60016-1272
Phone Number
847-391-9877
Fax Number
847-391-9177
person
Provider Business Mailing Address Details
Address
150 N River Rd
City
Des Plaines
State
Illinois
Zip
60016-1272
Phone Number
847-391-9877
Fax Number
847-391-9177
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036058679 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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