DR. GENESIS MANCHA, MD

Pediatrics

Active Individual
NPI: 1750905097

Practice Address

1645 W JACKSON BLVD STE 200
Chicago, IL 60612

Phone: (312) 942-2200

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Pediatrics 208000000X Yes 125.077066 (IL)

Frequently Asked Questions

NPI 1750905097 is the National Provider Identifier for DR. GENESIS MANCHA, MD, a Pediatrics provider located in Chicago, IL. This NPI was enumerated on June 2, 2020.
DR. GENESIS MANCHA, MD practices at 1645 W JACKSON BLVD STE 200, Chicago, IL 60612.

Quick Facts

NPI
1750905097
Type
Individual
Enumerated
Jun 2, 2020
Last Updated
Jun 12, 2020

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