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MANUEL E. ALVA M.D.

Gastroenterology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255405452

Individual Registrant:
 MANUEL E. ALVA M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6832 OGDEN AVE  BERWYN, IL 60402-3643 US
Tel: 708-795-0890  Fax: 708-795-1521

Contact information for business:
5625 BENTLEY AVE  CLARENDON HILLS, IL 60514-1509 US
Tel: 630-325-2655  Fax: 630-325-2993

Registration Information:
NPI: 1255405452
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RG0100XAllopathic & Osteopathic Physicians
Internal Medicine
Gastroenterology
IL036085880

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
036085880IL05
BLUE CROSS BLUE SHIELD2232097IL01
AMERIGROUP12259IL01
RAILROAD MEDICAREP00472782IL01




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