DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EVAN T. MANOLIS, M.D.

Active Sole Proprietor

DR. EVAN T. MANOLIS, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in ORLAND PARK, Illinois. NPI 1174619753 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · ORLAND PARK, IL

Registration Details

NPI Number
1174619753
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.883645916005 yrs)
Last Updated
Nov 8, 2011
Licenses
036-093168 (IL)
036-093168 (IL)
Sole Proprietor
Yes

Practice Information

Address
8760 W 159TH ST
SUITE 204
ORLAND PARK, IL, 604625395
Browse IL providers · Browse ZIP 60462
Phone
7088739600
Fax
7088739607
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
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.