GENTI MANCO (NPI# 1760936090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760936090 |
| Entity Type | Individual |
| Full Name | GENTI MANCO |
| Practice Address |
1 Erie Ct Oak Park IL 60302-2566 |
| Mailing Address |
120 W 22nd St Ste 200 Oak Brook IL 60523-1563 |
| Practice Telephone | 7085244576 |
| Practice Fax Number | 7085240573 |
| Mailing Telephone | 6305175120 |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014660 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 ERIE CT |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861691 | Nagulapalli S Rao | Specialist | 1 Erie Ct, Ste 7160, Oak Park, IL 60302-2510 | 2005-06-16 |
| 1528531837 | Pipeline Midwest Pharmacies, LLC | Pharmacy | 1 Erie Ct, Oak Park, IL 60302-2566 | 2019-01-09 |
| 1326577057 | Joanna Marie Curran | Family Medicine | 1 Erie Ct, Oak Park, IL 60302-2566 | 2017-06-06 |
| 1033660303 | Megan L Mccaleb | Physician Assistant | 1 Erie Ct, Suire 7120, Oak Park, IL 60302-2566 | 2016-10-20 |
| 1699137869 | Morgan Crandall | Physician Assistant | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2016-03-25 |
| 1760854020 | Forefront Dermatology, S.c. | Dermatology | 1 Erie Ct, Suite 4010, Oak Park, IL 60302 | 2015-10-27 |
| 1154700557 | Haley Combs | Student in an Organized Health Care Education/Training Program | 1 Erie Ct, Suite 6160, Oak Park, IL 60302-2566 | 2015-05-19 |
| 1023497344 | Jacob Shaw | Family Medicine | 1 Erie Ct, Oak Park, IL 60302 | 2015-05-19 |
| 1225428774 | Ashleigh Jardine | Physical Therapist | 1 Erie Ct, Suite 7120, Oak Park, IL 60302-2566 | 2015-02-04 |
| 1023352283 | Elizabeth J Racioppi | Physical Therapist | 1 Erie Ct, Suite 7140, Oak Park, IL 60302-2566 | 2012-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355838 | Esmeralda Zamora | Nurse Practitioner | 1010 Lake St Ste 100, Oak Park, IL 60301-1106 | 2020-10-26 |
| 1528689080 | Connor Shaw | Nurse Practitioner | 610 S Maple Ave Ste 5700, Oak Park, IL 60304-2808 | 2020-05-06 |
| 1033616859 | Lauren Marion | Nurse Practitioner | 1010 Lake St Ste 619, Oak Park, IL 60301-1136 | 2018-04-09 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1952828584 | Meghan Crismon Bezaire | Nurse Practitioner | 520 S Maple Ave Fl Ground, Oak Park, IL 60304-1022 | 2017-08-24 |
| 1376087114 | Lori Beth Friedman | Nurse Practitioner | 6017 Alexandra Ct, Oak Park, CA 91377-5833 | 2016-12-13 |
| 1104286392 | Selena Chantae Kirkwood | Nurse Practitioner | 3 Erie Ct., West Suburban Medical Center, Oak Park, IL 60302 | 2016-03-01 |
| 1831556703 | Patience Alilionwu | Nurse Practitioner | 1231 Edmer Ave, Oak Park, IL 60302-1133 | 2016-01-24 |
| 1396149449 | Laurie Zack | Nurse Practitioner | 525 S Scoville Ave, Unit 1, Oak Park, IL 60304-1403 | 2014-10-17 |
| 1548671399 | Kina Montgomery | Nurse Practitioner | 138 N Austin Blvd, Apt 3a, Oak Park, IL 60302-3338 | 2014-05-14 |
| Find all providers in OAK PARK | ||||
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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.