Dr. Genesis Talia Mancha
MD | Pediatrics | Female
Dr. Genesis Talia Mancha, MD is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Genesis Talia Mancha is
1645 W Jackson Blvd Ste 200, Chicago, Illinois - 60612-3227. She can be contacted on phone at
312-942-2200.
Dr. Genesis Talia Mancha is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Genesis Talia Mancha is
1750905097 which was assigned by NPPES on 02 Jun, 2020 and it was last updated on 12 Jun, 2020.
Dr. Genesis Talia Mancha license number is
125.077066 for Pediatrics (208000000X) in Illinois.
Dr. Genesis Talia Mancha is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Genesis Talia Mancha basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Genesis Talia Mancha |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Genesis Talia Mancha address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1645 W Jackson Blvd Ste 200
Chicago, IL, 60612-3227
United States |
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| Phone Number : | 312-942-2200 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750905097 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Jun, 2020 |
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| Last Updated On : | 12 Jun, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Genesis Talia Mancha are as mentioned. Primary taxonomy code for Dr. Genesis Talia Mancha, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 125.077066 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1645 W Jackson Blvd Ste 200
Chicago, IL, 60612-3227
United States |
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| Phone Number : | 312-942-2200 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Genesis Talia Mancha practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.