Evan T. Manolis, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

036-093168 Issued in IL

Practice address

8760 W 159TH St
Suite 204
Orland Park, IL 60462-5395

Phone

(708) 873-9600

Fax

(708) 873-9607

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Southern Illinois University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emanolis283692@direct.myadvocateaurora.org

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.

• Orland Park Plastic Surgery, S.C.

  • Plastic and Reconstructive Surgery Physician
  • Orland Park, IL
  • NPI 1780858373
  Medicare reassignment NPD Authorized official
• Advocate Health Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1639111933
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1174619753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 W 159TH ST",
            "address_2": "SUITE 204",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625395",
            "telephone_number": "708-873-9600",
            "fax_number": "708-873-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8760 W 159TH ST",
            "address_2": "SUITE 204",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625395",
            "telephone_number": "708-873-9600",
            "fax_number": "708-873-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLIS",
        "first_name": "EVAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "IL",
            "license": "036-093168",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036-093168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093168",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Mancini, D.O.
• Vernie R. Manger, LCPC,CAADC,CGP
• Manifest Therapy Services, LLC
• Curtis G Mann, M.D.
• James W. Manock, LCSW
• Cassie Manzi, NP
• Map Trauma Therapy Services
• Calvin M Mar, MD
• Joseph Vincent Maranto, MA, LCPC
• Britney Marchan, OTR/L

• Plastic and Reconstructive Surgery Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.