CHANTAL ANNETTE-VAN HOUTEN MANHART

SYCAMORE, IL
NPI1265576185
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: IL  209.006994)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209.006994)
363LF0000X Nurse Practitioner, Family
(Licence: IA  A-087782)
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: IA  F-087782)
Enumeration Date2007-02-16
Last Update Date2013-03-11
Business Address
-- CHANTAL ANNETTE-VAN HOUTEN MANHART ARNP
1675 BETHANY RD SUITE C
SYCAMORE, IL 60178-3124
Phone number: 815-899-8080
Mailing Address
-- CHANTAL ANNETTE-VAN HOUTEN MANHART ARNP
1675 BETHANY RD SUITE C
SYCAMORE, IL 60178-3124
Phone number: 815-899-8080