Active NPI
Savio Manatt, SC
- Legal Medicine
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 036069553
- Legal business name
- SAVIO MANATT, SC
- Practice address
- 20060 Governors Dr
Suite 204
Olympia Fields, IL 60461-1099 - Phone
- (708) 283-8300
- Fax
- (708) 283-9245
- NPI assigned
- Jul 31, 2013
- Last updated
- Apr 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Savio George Manatt, M.D
- Title
- President
- Phone
- (708) 283-8300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 036069553 | IL | Primary |
Addresses
Primary practice location
20060 Governors Dr
Suite 204
Olympia Fields, IL 60461-1099
Mailing address
20060 Governors Drive
Suite 204
Olympia Fields, IL 60461
Phone (708) 283-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Savio Manatt SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Legal Medicine
- Olympia Fields, IL
- NPI 1114345402
Locations
30 E 15th St
Ste 202
Chicago Heights, IL 60411
Phone (708) 754-7777
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Olympia Fields, IL
- NPI 1891112306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397088000000",
"number": "1245662394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20060 GOVERNORS DRIVE",
"address_2": "SUITE 204",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "60461",
"telephone_number": "708-283-8300",
"fax_number": "708-283-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20060 GOVERNORS DR",
"address_2": "SUITE 204",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611099",
"telephone_number": "708-283-8300",
"fax_number": "708-283-9245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVIO MANATT, SC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-31",
"last_updated": "2014-04-10",
"status": "A",
"authorized_official_last_name": "MANATT",
"authorized_official_first_name": "SAVIO",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-283-8300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "IL",
"license": "036069553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.