MANUEL PORTALATIN, D.O.

Surgery

Active Individual
NPI: 1710392246

Practice Address

2160 S 1ST AVE
Maywood, IL 60153

Phone: (708) 216-9000

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 036156256 (IL)
Surgery - Surgical Critical Care 2086S0102X No DO01505 (RI)

Frequently Asked Questions

NPI 1710392246 is the National Provider Identifier for MANUEL PORTALATIN, D.O., a Surgery provider located in Maywood, IL. This NPI was enumerated on June 23, 2014.
MANUEL PORTALATIN, D.O. practices at 2160 S 1ST AVE, Maywood, IL 60153.

Quick Facts

NPI
1710392246
Type
Individual
Enumerated
Jun 23, 2014
Last Updated
Nov 19, 2025

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