MEDICARE: MANUS HEALTH SYSTEMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0001X	Public Health Dentistry		IL

General Provider Information

NPI Number	:	1386824498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANUS HEALTH SYSTEMS

Provider Business Mailing Address
First Line	:	676 N MICHIGAN AVE STE 3500
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2839
Country	:	US
Telephone Number	:	312-274-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	676 N MICHIGAN AVE STE 3500
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2839
Country	:	US
Telephone Number	:	312-274-3333
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	LEANNE WYPYCH
Credential	:
Telephone Number	:	312-274-3333

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	11/06/2007

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Directions to “MANUS HEALTH SYSTEMS ” Practice Location

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