IndividualActive
Augustine Manadan, M.D.
NPI 1508881871 · Rheumatology Physician · Chicago, IL
Provider details
- NPI number
- 1508881871
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-100913 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1725 W Harrison St
Suite 1017
Chicago, IL 60612-3841
Phone: (312) 942-6641
Approximate (ZIP-level) locationGet directions
Mailing address
1611w Harrison St 510
Chicago, IL 60612-4861
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2021-04-27
- Certified
- 2021-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.