Anette K. Mnabhi, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

036-103460 Issued in IL

Practice address

115 N Main St
Montgomery, IL 60538-1298

Phone

(630) 801-8773

Fax

(630) 264-6734

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 26, 2016 through Apr 26, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Abdelhadi Mnabhi D.C. P.C.

  • Chiropractor
  • Montgomery, IL
  • NPI 1730364852
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1114060548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381298",
            "telephone_number": "630-801-8773",
            "fax_number": "630-264-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MAIN ST",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381298",
            "telephone_number": "630-801-8773",
            "fax_number": "630-264-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MNABHI",
        "first_name": "ANETTE",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": "036-103460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4727796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McPhail Behavioral Health
• Mercy Care Health Systems LLC
• Midwest Surgical Facility
• Arlette Millan Chavez, LCSW
• Abdelhadi Mnabhi, D.C.
• Samina Mohiuddin, PHARMD
• Montgomery & Countryside Fire Protection District
• Montgomery Chiropractic Clinic PC
• Alexandra Arrich Munoz, DMD
• Neighborhood Counseling Associates NFP

• Neuromusculoskeletal Medicine & OMM Physician in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.