Anita Chandrathil Manogura
Gynecologist - Maternal & Fetal Medicine
1425 N Randall Rd Sherman Hosp Ste 1-2150
Elgin
, Illinois 60123-2300
Anita Chandrathil Manogura
Gynecologist - Maternal & Fetal Medicine
1425 N Randall Rd Sherman Hosp Ste 1-2150
Elgin
, Illinois 60123-2300
(224) 773-8975
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Anita Chandrathil Manogura
- Po Box 743
- Elgin, IL
- Zip : 60121
- Phone : (224) 773-8975
Second Address
- Anita Chandrathil Manogura
- 1425 N Randall Rd Sherman Hosp Ste 1-2150
- Elgin, IL
- Zip : 60123-2300
- Phone : (224) 773-8975
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036-108204 | IL |
National Provider Identifier
| NPI | 1124176987 |
|---|---|
| Provider Name | Anita Chandrathil Manogura |
| First Address | Elgin, IL 60121 |
| Second Address | Elgin, IL 60123-2300 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 14/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1124176987 | INDIVIDUAL NPI (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.