Individual provider · Type 1 NPI

Thaddeus Manczko, MD

Emergency Medical Services (Emergency Medicine) Physician · Kankakee, IL

NPI number 1073553004 Active

Practice location

350 N Wall St
Kankakee, IL 60901-2901

Call (815) 933-1671 Map

Mailing address

2000 Green Rd, Suite 300
Ann Arbor, MI 48105-1598

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X036-100560 (IL)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

129 other providers at this address

About NPI 1073553004

Thaddeus Manczko, MD's National Provider Identifier is 1073553004, issued on Jun 7, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Kankakee, IL. The record was last updated on Jun 3, 2008.