Dr. Bob A Manam
Infectious Disease
2020 Ogden Ave Ste 140
Aurora
, Illinois 60504-5894
Dr. Bob A Manam
Infectious Disease
2020 Ogden Ave Ste 140
Aurora
, Illinois 60504-5894
(630) 851-1144
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Bob A Manam
- 2020 Ogden Ave Ste 140
- Aurora, IL
- Zip : 60504-5894
- Phone : (630) 851-1144
Second Address
- Dr. Bob A Manam
- 2020 Ogden Ave Ste 140
- Aurora, IL
- Zip : 60504-5894
- Phone : (630) 851-1144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 036077740 | IL |
National Provider Identifier
| NPI | 1063443885 |
|---|---|
| Provider Name | Dr. Bob A Manam |
| First Address | Aurora, IL 60504-5894 |
| Second Address | Aurora, IL 60504-5894 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/07/2006 |
| Last Update Date | 04/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0360377740 | (05) | IL |
| 23697 | (02) | IL |
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.