Provider Demographics
NPI:1407046089
Name:MANFREDI, CYNTHIA J (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:J
Last Name:MANFREDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W WARRENVILLE RD # 600-1100
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-8473
Mailing Address - Country:US
Mailing Address - Phone:630-420-5675
Mailing Address - Fax:630-420-4477
Practice Address - Street 1:150 W WARRENVILLE RD # 600-1100
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8473
Practice Address - Country:US
Practice Address - Phone:630-420-5675
Practice Address - Fax:630-420-4477
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine