Mantality Illinois LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANTALITY ILLINOIS LLC

Practice address

155 N Wacker Dr # 3000
Chicago, IL 60606-1787

Phone

(314) 254-2420

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Kevin Meuret

Title

Owner

Phone

(314) 254-2420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1093222689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N WACKER DR # 3000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N WACKER DR # 3000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061787",
            "telephone_number": "314-254-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTALITY ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "MEURET",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-254-2420"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Mansour, LCSW
• Deborah Manst, MD, MPH
• Neel Anand Mansukhani, M.D.
• Kathryn Mansuri, M.D.
• Cristina Manta, M.D.
• Jenna Mantell, LCSW
• Marlene Mantich, D.P.M.
• Jorge Mantilla, SA-C
• Stelios Mantis, MD
• Wendy L. Manto, M.A., L.C.P.C.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.