Evan T Manolis


Address: 8760 W 159th St, Suite 204, Orland Park, IL 60462-5396

Evan T Manolis (NPI# 1174619753, PAC ID# 5092788554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1174619753
PAC ID by PECOS 5092788554
Professional Enrollment ID I20040816000093
Full Name Evan T Manolis
Address 8760 W 159th St
Suite 204
Orland Park
IL 60462-5396
Gender M
Credential MD
Medical School SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1996
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Secondary Specialties HAND SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140250 ADVOCATE SOUTH SUBURBAN HOSPITAL

Other Locations

Address Phone Organization
8760 W 159th St, Suite 204, Orland Park, IL 60462-5396

Organization Information

Office Location

Street Address 8760 W 159TH ST
SUITE 204
City ORLAND PARK
State IL
Zip 60462-5396

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Competitor

Search similar physicians

City ORLAND PARK
Zip Code 60462
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty ORLAND PARK + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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