Manuel Cesar Iglesias, M.D., S.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MANUEL CESAR IGLESIAS, M.D., S.C.

Practice address

1111 Superior St
Suite 409
Melrose Park, IL 60160-4138

Phone

(708) 681-0070

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Manuel C. Iglesias, M.D.

Title

President

Phone

(847) 967-1149

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1265479158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142828",
            "telephone_number": "847-967-1149",
            "fax_number": "847-967-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "SUITE 409",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-681-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL CESAR IGLESIAS, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "IGLESIAS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-967-1149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ILLINOIS",
            "identifier": "21607825",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M Z Sait MD LTD
• Dana Marie Macaluso, CRNA
• Amber Lynn Maiberger, BFA, RSA
• Genti Manco
• Merissa Mann, P.A.-C
• Fred J. Marchese, D.D.S.
• Marie Theresa Marek, CADC
• Daniel Marsh, LPC
• Stephanie Renee Marsh, RD, LDN
• Xavier Martillo

• Gastroenterology Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.