Marlene Mantich is a Podiatrist in Chicago, Illinois. Marlene Mantich practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Marlene Mantich is 1265489397. The last update date is 2007-07-08.
Marlene Mantich's current location address is Po Box 14147, Chicago, Illinois. You can contact this provider via phone number 3129199783. The mailing address for Marlene Mantich is Po Box 14147, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marlene Mantich |
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Address | Po Box 14147, Chicago, Illinois |
Phone Number | 3129199783 |
Fax Number | |
Sole Proprietor | X |
Credentials | D.P.M. |
NPI Number Detail
NPI Number | 1265489397 |
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Provider Enumeration Date | 2006-05-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 14147 |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606140147 |
Phone Number | 3129199783 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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016004721-1 | IL | -- | |
1606975 | IL | BLUE SHIELD |
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What is the unique identifier code issued to Marlene Mantich by the Centers for Medicare & Medicaid Services?
The Marlene Mantich has been assigned the NPI (National Provider Identifier) 1265489397. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marlene Mantich's physical address?
The Marlene Mantich is physically located at Po Box 14147, in the city of Chicago, IL, with the postal code 606140147.
What is Marlene Mantich's area of expertise and its corresponding taxonomy classification?
The Marlene Mantich's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
When did the Marlene Mantich receive its 1265489397?
The Marlene Mantich was issued its 1265489397 on 2006-05-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Marlene Mantich most recently updated or revised?
The information pertaining to Marlene Mantich, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.