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NPI Code Detail

MEDICARE: DR. DEEPAK BAHADUR MANRAL DC

MEDICARE:  DR. DEEPAK BAHADUR MANRAL  DC
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
1111N00000XChiropractorIL

General Provider Information

NPI Number : 1619082344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEEPAK BAHADUR MANRAL DC
Provider Business Mailing Address
First Line : 2629 SHERIDAN RD
Second Line : SUITE 1A
City : ZION
State : IL
Zip : 60099-2629
Country : US
Telephone Number : 847-872-8230
Fax Number : 847-872-8208
Provider Business Practice Location Address
First Line : 2629 SHERIDAN RD
Second Line : SUITE 1A
City : ZION
State : IL
Zip : 60099-2629
Country : US
Telephone Number : 847-872-8230
Fax Number : 847-872-8208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DEEPAK BAHADUR MANRAL DC” Practice Location

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