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Dr. Genesis Talia Mancha, MD
Pediatrics Physician in Chicago, Illinois
NPI 1750905097

Genesis Talia Mancha is a Pediatrics Physician based in Chicago, IL. Genesis Talia Mancha practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Genesis Talia Mancha is 1750905097 and holds a License No. (Illinois).

The current practice location address for Genesis Talia Mancha is 1645 W Jackson Blvd Ste 200, Chicago, IL and can be reached out via phone at 312-942-2200.

Location: 1645 W Jackson Blvd Ste 200, Chicago, IL, 60612-3227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750905097
Provider Name
Genesis Talia Mancha
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1645 W Jackson Blvd Ste 200, Chicago, IL, 60612-3227
Phone Number
312-942-2200
Fax Number
Provider Enumeration Date
06/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1645 W Jackson Blvd Ste 200
City
Chicago
State
Illinois
Zip
60612-3227
Phone Number
312-942-2200
Fax Number
person
Provider Business Mailing Address Details
Address
1645 W Jackson Blvd Ste 200
City
Chicago
State
Illinois
Zip
60612-3227
Phone Number
312-942-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
125.077066 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
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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