Manju Chopra, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-097957 Issued in IL

Practice address

808 N. Route,Meijer Incorporated
Community Health Services,SC Dba Medical Marts Group
Aurora, IL 60504

Phone

(630) 236-6123

Fax

(630) 236-6133

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Services, SC

  • Primary Care Clinic/Center
  • Aurora, IL
  • NPI 1447445895
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1063603033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 S. RAINBOW BLVD. STE 112",
            "address_2": "MEDICAL MARTS (GROUP) LLC",
            "city": "LAS VEGAS,",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "630-579-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N. ROUTE,MEIJER INCORPORATED",
            "address_2": "COMMUNITY HEALTH SERVICES,SC DBA MEDICAL MARTS GROUP",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-236-6123",
            "fax_number": "630-236-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPRA",
        "first_name": "MANJU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-097957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Back & Neck Center PC
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• Jin H. Choi, D.D.S.
• Choices Treatment Center
• Julia Jung Choo, MD
• Kevin Todd Chorvat, M.D.
• Amina Choudry
• Ryan Chrisman-Denegri
• Shannon Chrismore
• Peter Christakos, PT

• Family Medicine Physician in Aurora, IL
• Providers in Aurora, 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 Aug 6, 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.