Jesus Antonio Manteca-Elias in Park Ridge - Family Medicine
Jesus Antonio Manteca-Elias - NPI 1821066879
Jesus Antonio Manteca-Elias is a Family Medicine in Park Ridge, Illinois. Jesus Antonio Manteca-Elias practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jesus Antonio Manteca-Elias is 1821066879. The last update date is 2007-07-08.
Jesus Antonio Manteca-Elias's current location address is 1832 Weeg Way, Park Ridge, Illinois. You can contact this provider via phone number 8473840346 and fax number 8473840543. The mailing address for Jesus Antonio Manteca-Elias is 1832 Weeg Way, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesus Antonio Manteca-Elias |
|---|---|
| Address | 1832 Weeg Way, Park Ridge, Illinois |
| Phone Number | 8473840346 |
| Fax Number | 8473840543 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821066879 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1832 Weeg Way |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 600681230 |
| Phone Number | 8473840346 |
| Fax Number | 8473840543 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 26132 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3609197802 | IL | -- |
Post Comment/ Review Below
What is the Jesus Antonio Manteca-Elias's 1821066879?
The Jesus Antonio Manteca-Elias's NPI (National Provider Identifier) Number is 1821066879. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jesus Antonio Manteca-Elias is geographically located?
The Jesus Antonio Manteca-Elias is physically situated at the following location: 1832 Weeg Way, Park Ridge, IL, 600681230.
What is Jesus Antonio Manteca-Elias's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jesus Antonio Manteca-Elias's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Jesus Antonio Manteca-Elias receive the assignment of its 1821066879 from the Centers for Medicare & Medicaid Services?
The Jesus Antonio Manteca-Elias was issued its 1821066879 by the Centers for Medicare & Medicaid Services on 2006-03-08.
As of what date was the information pertaining to Jesus Antonio Manteca-Elias, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jesus Antonio Manteca-Elias, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.