Robert John Manfredini Jr., D.N.

Primary specialty

NaprapathTaxonomy code 172P00000X

License

181-000286 Issued in IL

Practice address

363 N. Main Street
Wauconda, IL 60084-1824

Phone

(847) 533-7404

Fax

(847) 865-5300

NPI assigned

Apr 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1154595890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 N. MAIN STREET",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841824",
            "telephone_number": "847-533-7404",
            "fax_number": "847-865-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 N. MAIN STREET",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841824",
            "telephone_number": "847-533-7404",
            "fax_number": "847-865-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDINI",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000286",
            "primary": false
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181-000286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Planas MD SC
• Mackenzie Ann Lullo, AS, BAS, PTA
• Siobhan Lynch, FNP-C
• Shraddha Arvind Majcher, MPT
• Gail Malvestuto, ED.D.
• Manuel J Rodriguez DDS LTD.
• Donna Marchini
• Courtney Joy Marescalco, APNP
• Kathleen Marie Mariani, P.A.
• Donna Marie Martino, LCPC

• Naprapath in Wauconda, IL
• Providers in Wauconda, IL by specialty
• Naprapath in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.