Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THADDEUS MANCZKO, M.D.
ActiveDR. THADDEUS MANCZKO, M.D. is a Emergency Medical Services healthcare provider located in KANKAKEE, Illinois. NPI 1073553004 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · KANKAKEE, IL
Registration Details
- NPI Number
- 1073553004
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (20.219280880956 yrs)
- Last Updated
- Jun 3, 2008
- License
-
036-100560 (IL)
Practice Information
- Address
-
350 N WALL STKANKAKEE, IL, 609012901Browse IL providers · Browse ZIP 60901
- Phone
- 8159331671
- Primary Specialty
-
Emergency Medical Services
207PE0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.