Provider Demographics
NPI:1447363601
Name:MANEV, RADMILA M (MD)
Entity type:Individual
Prefix:
First Name:RADMILA
Middle Name:M
Last Name:MANEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:180 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 905
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7401
Mailing Address - Country:US
Mailing Address - Phone:312-834-3005
Mailing Address - Fax:312-453-0224
Practice Address - Street 1:180 N MICHIGAN AVE
Practice Address - Street 2:SUITE 905
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7401
Practice Address - Country:US
Practice Address - Phone:312-834-3005
Practice Address - Fax:312-453-0224
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0360940782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry