| Manuel Cesar Iglesias, M.d., S.c. | |
|
1111 Superior St Suite 409 Melrose Park IL 60160-4138 | |
| (708) 681-0070 | |
| Not Available |
| Full Name | Manuel Cesar Iglesias, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Superior St, Melrose Park, Illinois |
| Authorized Official Name and Position | Manuel C. Iglesias (PRESIDENT) |
| Authorized Official Contact | 8479671149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Cesar Iglesias, M.d., S.c. 8135 N Milwaukee Ave Niles IL 60714-2828 Ph: (847) 967-1149 | Manuel Cesar Iglesias, M.d., S.c. 1111 Superior St Suite 409 Melrose Park IL 60160-4138 Ph: (708) 681-0070 |
| NPI Number | 1265479158 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 10/01/2007 |
| Medicare PECOS PAC ID | 5597859454 |
|---|---|
| Medicare Enrollment ID | O20070922000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265479158 | NPI | - | NPPES |
| 21607825 | Other | IL | BLUE SHIELD OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Manuel Cesar Iglesias |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578562351 PECOS PAC ID: 3870687734 Enrollment ID: I20070922000080 |
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