Provider Demographics
NPI:1639872500
Name:MANOLCHEV, ANELIYA VASILEVA
Entity Type:Individual
Prefix:
First Name:ANELIYA
Middle Name:VASILEVA
Last Name:MANOLCHEV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4344
Mailing Address - Country:US
Mailing Address - Phone:224-766-9722
Mailing Address - Fax:
Practice Address - Street 1:222 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4344
Practice Address - Country:US
Practice Address - Phone:224-766-9722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160008125225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant