M P M Family Health Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

M P M FAMILY HEALTH INC.

Practice address

1445 N Hunt Club Rd
Suite 304
Gurnee, IL 60031-2603

Phone

(847) 383-5428

NPI assigned

Jul 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manfred P Man, D. O.

Title

President

Phone

(847) 856-8128

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1043410111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD",
            "address_2": "SUITE 304",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-856-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD",
            "address_2": "SUITE 304",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-383-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M P M FAMILY HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MAN",
        "authorized_official_first_name": "MANFRED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-856-8128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.