Most Relevant Information
Provider Data
| NPI Number: | 1003438920 |
| Provider Name: | ANNA MANILLA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2020 |
| Last Updated: | 05/13/2020 |
Provider Practice Location
4440 W 95TH ST
OAK LAWN
IL
604532600
Practice Location Phone/Fax
| Phone: | 2487017523 |
| Fax: |
Provider Mailing Location
1047 W MADISON ST
CHICAGO
IL
606072196
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |