Annie Mannancheril
NPI #1306450424 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1306450424
- Entity Type
- Individual
- Name
- Annie Mannancheril
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 4, 2020
- Last Updated
- Sep 4, 2020
Practice Location
- Address
- 9114 WAUKEGAN RD
- City
- Morton Grove
- State
- Illinois
- ZIP Code
- 60053-2135
- Phone
- (000) 000-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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