Active NPI
Joselita C Manalac, M.D.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036045280
- Practice address
- 3109 W Armitage Ave
Chicago, IL 60647-3818 - Phone
- (773) 384-4933
- Fax
- (773) 384-5037
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036045280 | IL | Primary |
Addresses
Primary practice location
3109 W Armitage Ave
Chicago, IL 60647-3818
Mailing address
3111 W Armitage Ave
Chicago, IL 60647-3818
Phone (773) 384-4933
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1618703 | Other | IL | BLUE CROSS |
| 036045280 | Medicaid | IL |
Other names 1
- Joselita C Ylagan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Internal Medicine | Current | Accepting new patients |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Internal Medicine | Current | Accepting new patients |
Locations
3109 W Armitage Ave
Chicago, IL 60647
Phone (773) 292-5555
3111 W Armitage Ave
Chicago, IL 60647
Phone (773) 342-8493
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Sinai Medical Group
- Rehabilitation Hospital
- Chicago, IL
- NPI 1376715896
-
dba SMG West Care Medical Center
- Family Medicine Physician
- Chicago, IL
- NPI 1891859559
Internal Medicine
-
dba Sinai Medical Group
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1073638011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 W ARMITAGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473818",
"telephone_number": "773-384-4933",
"fax_number": "773-384-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 W ARMITAGE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473818",
"telephone_number": "773-384-4933",
"fax_number": "773-384-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALAC",
"first_name": "JOSELITA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036045280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1618703",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036045280",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSELITA",
"last_name": "YLAGAN",
"middle_name": "C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.