Chantal Annette-Va Manhart in Sycamore - Obstetrics & Gynecology

Chantal Annette-Va Manhart - NPI 1265576185

Chantal Annette-Va Manhart is a Obstetrics & Gynecology in Sycamore, Illinois. Chantal Annette-Va Manhart practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Chantal Annette-Va Manhart is 1265576185. The last update date is 2013-03-11.

Chantal Annette-Va Manhart's current location address is 1675 Bethany Rd, Sycamore, Illinois. You can contact this provider via phone number 8158998080 and fax number 8158998002. The mailing address for Chantal Annette-Va Manhart is 1675 Bethany Rd, Sycamore, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Chantal Annette-Va Manhart
Address 1675 Bethany Rd, Sycamore, Illinois
Phone Number 8158998080
Fax Number 8158998002
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1265576185
Provider Enumeration Date 2007-02-16
Last Updated Date 2013-03-11

Provider Mailing Address Detail

Address 1675 Bethany Rd
City Sycamore
State Illinois (IL)
Post Code 601783124
Phone Number 8158998080
Fax Number 8158998002

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 363Lx0001X
Licence No 209.006994
Definition:
An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
209.006994 IL ILLINOIS LICENSE NUMBER
F-087782 OR A-0 IA IOWA LICENSE NUMBER

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FAQs about Chantal Annette-Va Manhart

What is the unique 10-digit identification code assigned to Chantal Annette-Va Manhart by the Centers for Medicare & Medicaid Services?

The Chantal Annette-Va Manhart has been issued the NPI (National Provider Identifier) 1265576185, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Chantal Annette-Va Manhart is geographically located?

The Chantal Annette-Va Manhart is physically situated at the following location: 1675 Bethany Rd, Sycamore, IL, 601783124.

What is the Chantal Annette-Va Manhart's specialty and taxonomy code?

The Chantal Annette-Va Manhart's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 363Lx0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1265576185 to Chantal Annette-Va Manhart?

The Centers for Medicare & Medicaid Services assigned the 1265576185 to Chantal Annette-Va Manhart on 2007-02-16.

As of what date were the details related to Chantal Annette-Va Manhart most recently updated or revised?

The information pertaining to Chantal Annette-Va Manhart, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-11.

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