CHANTAL ANNETTE-VAN HOUTEN MANHART (NPI# 1265576185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265576185 |
| Entity Type | Individual |
| Full Name | CHANTAL ANNETTE-VAN HOUTEN MANHART |
| Credential | ARNP |
| Practice Address |
1675 Bethany Rd Suite C Sycamore IL 60178-3124 |
| Practice Telephone | 8158998080 |
| Practice Fax Number | 8158998002 |
| Mailing Telephone | 8158998080 |
| Mailing Fax Number | 8158998002 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2013-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A-087782 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.006994 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
F-087782 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
209.006994 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IOWA LICENSE NUMBER | F-087782 OR A-087782 | 01 |
| IL | ILLINOIS LICENSE NUMBER | 209.006994 | 01 |
| Street Address |
1675 BETHANY RD SUITE C |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497739569 | Bryan M Kruskol | Obstetrics & Gynecology | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3124 | 2005-12-02 |
| 1952636102 | David Junck | Dentist | 1675 Bethany Rd, Suite A, Sycamore, IL 60178-3160 | 2009-10-06 |
| 1871735290 | Nichole Elizabeth Wiepert | Obstetrics & Gynecology | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 | 2009-03-31 |
| 1316117799 | Family Podiatry of Dekalb Inc | Podiatrist | 1675 Bethany Rd, Ste B, Sycamore, IL 60178-3124 | 2008-03-03 |
| 1851583603 | Oral and Maxillo Facial Surgeons for Northern Illinois | Oral & Maxillofacial Surgery | 1675 Bethany Rd, Suite A, Sycamore, IL 60178 | 2007-08-15 |
| 1265520340 | Steven Anthony Koos | Dentist | 1675 Bethany Rd, Ste A, Sycamore, IL 60178 | 2006-10-11 |
| 1497867626 | Todd Mathew Anderson | Dentist | 1675 Bethany Rd, Suite A, Sycamore, IL 60178 | 2006-09-01 |
| 1841223070 | Prairie Point Obstetrics and Gynecology Ltd | Obstetrics & Gynecology | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 | 2006-07-09 |
| 1194758334 | Bryan M Kruskol Do Sc | Obstetrics & Gynecology | 1675 Bethany Rd, Suite C, Sycamore, IL 60178-3160 | 2006-07-09 |
| 1699717892 | Heather Lynn Maulson-breuer | Dentist | 1675 Bethany Rd, Suite #e, Sycamore, IL 60178-3124 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396308458 | Alexandra H Pape | Nurse Practitioner | 10260 191st St Ste 100, Mokena, IL 60448-8802 | 2019-04-15 |
| 1306313754 | Klaudia Dorota Niedzwiecki | Nurse Practitioner | 654 W Veterans Pkwy Ste A, Yorkville, IL 60560-2510 | 2018-10-24 |
| 1295226728 | Cortney Elizabeth Patrick | Nurse Practitioner | 2900 Frank Scott Pkwy W Ste 966, Belleville, IL 62223-5000 | 2018-05-21 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1124464110 | Michelle Yonkus | Nurse Practitioner | 500 E 22nd St Ste A, Lombard, IL 60148-6102 | 2013-05-16 |
| 1457600306 | Julie Duff | Nurse Practitioner | 5425 W. Addison, Chicago, IL 60641 | 2012-09-06 |
| 1891067765 | Cynthia Ann Wildemuth | Nurse Practitioner | 2112 25th Avenue, Rock Island, IL 61201 | 2012-02-07 |
| 1174803753 | Patricia J Fiorito | Nurse Practitioner | 801 S Milwaukee Ave # 110, Libertyville, IL 60048-3204 | 2011-08-26 |
| 1619102456 | Vickie Eileen Ellis | Nurse Practitioner | 201 W. Kenyon Rd, Champaign, IL 61820-7892 | 2009-05-22 |
| 1942465554 | Maryann Ulery | Nurse Practitioner | 3 Austrian Ct, Lake In The Hills, IL 60156-6515 | 2008-07-23 |
| 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.