MANUEL PEREZ, M.D.,S.C. (NPI# 1053716795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053716795 |
| Entity Type | Organization |
| Organization Name | MANUEL PEREZ, M.D.,S.C. |
| Practice Address |
19621 La Grange Rd Mokena IL 60448-9360 |
| Mailing Address |
19934 Wolf Rd #558 Mokena IL 60448-2101 |
| Practice Telephone | 7084654559 |
| Mailing Telephone | 7084654559 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Authorized Official Name | DR. MANUEL PEREZ (OWNER) |
| Authorized Official Telephone | 7084654559 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
036084064 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659382620 | Manuel Perez, M.d.,s.c. | Internal Medicine | 1575 Barrington Rd, Suite 209, Hoffman Estates, IL 60194-1057 | 2006-08-11 |
| Street Address |
19621 LA GRANGE RD |
| City | MOKENA |
| State | IL |
| Zip Code | 60448-9360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972543916 | Manuel Perez | Surgery | 19621 La Grange Rd, Mokena, IL 60448-9360 | 2006-06-07 |
| 1073762555 | Forefront Adult & Pediatric Care, S.c. | Clinic/Center | 19621 La Grange Rd, Mokena, IL 60448-9360 | 2008-09-09 |
| 1295802882 | Paul Antony Panzica | Internal Medicine | 19621 La Grange Rd, Mokena, IL 60448-9360 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1881173656 | Instarx Pharmacy LLC | Pharmacy | 18927 Hickory Creek Dr Ste 135, Mokena, IL 60448 | 2018-08-12 |
| 1124535240 | Three Point Healthcare LLC | Physical Therapist | 19807 S La Grange Rd, Mokena, IL 60448 | 2018-01-10 |
| 1831618545 | Erica Cundiff | Developmental Therapist | 10352 Aileen Ave., Mokena, ID 60448 | 2017-09-13 |
| 1346769122 | Haley Mccabe | Specialist/Technologist | 11520 Plattner Dr, Mokena, IL 60448 | 2017-09-13 |
| 1215450408 | Valley Creek Family Dental Ltd | Clinic/Center | 11244 W Laporte Rd, Mokena, IL 60448 | 2017-07-20 |
| 1477084861 | Ellen Marie Spiese | Marriage & Family Therapist | 19518 116th Ave Unit D, Mokena, IL 60448 | 2017-03-27 |
| 1851714190 | Oasis Hospice & Palliative Care, Inc. | Hospice Care, Community Based | 10010 W 190th Pl, Mokena, IL 60448 | 2014-01-22 |
| 1396167201 | Tammy S Grode | Counselor | 9200 W 191st St Ste 6, Mokena, IL 60448 | 2014-01-11 |
| 1467725119 | Easter Seals | Specialist | 10039 Cambridge Ct, Mokena, IL 60448 | 2012-02-10 |
| Find all providers in zip 60448 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1477181782 | Embassy Studios North | Clinic/Center | 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 | 2020-03-31 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1215598891 | Vero Clinics | Clinic/Center | 1192 E Pershing Rd, Decatur, IL 62526-4753 | 2019-06-25 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1033699467 | Healthpointe Medical Center Sc | Clinic/Center | 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 | 2018-08-15 |
| 1740794882 | Highland Park Cvs, L.L.C. | Clinic/Center | 72 Airport Plz, Bethalto, IL 62010-1774 | 2017-11-28 |
| 1447764014 | Dr Courtney Drendel Inc | Clinic/Center | 515 Hamilton St # 100, Geneva, IL 60134-2138 | 2017-11-19 |
| 1699206599 | David M Conner M.d. | Clinic/Center | 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.