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1063511004
MANAPURATHU MATHEW
ELGIN, IL
NPI
1063511004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-44623)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
-- MANAPURATHU MATHEW MD
40 N AIRLITE ST SUITE 4
ELGIN, IL 60123-4965
Phone number: 847-695-8454
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Mailing Address
-- MANAPURATHU MATHEW MD
3040 W SALT CREEK LN
ARLINGTON HTS, IL 60005-1069
Phone number: 847-385-7322
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