Active NPI
Russell E Manney III, D.C.
- Chiropractor
- Westmont, IL
National Provider Identifier
1316954803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 812 E Ogden Ave
Westmont, IL 60559-1246 - Phone
- (630) 655-9380
- NPI assigned
- Aug 1, 2006
- Last updated
- Mar 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
812 E Ogden Ave
Westmont, IL 60559-1246
Mailing address
1516 Stewart Dr
Darien, IL 60561-5907
Phone (630) 910-1140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7476704 | Other | IL | AETNA |
| 02232677 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
812 E Ogden Ave
Westmont, IL 60559-1246
Phone (630) 655-9380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010311 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Centers LTD | Chiropractor | Current | Accepting new patients |
Locations
930 N York Rd
Ste 50
Hinsdale, IL 60521
Phone (630) 214-9716
812 E Ogden Ave
Westmont, IL 60559
Phone (630) 455-1900
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Westmont, IL
- NPI 1003952961
-
- Chiropractor
- Westmont, IL
- NPI 1124205257
-
- Chiropractor
- Romeoville, IL
- NPI 1841336724
-
- Physical Therapist
- Westmont, IL
- NPI 1811376510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1316954803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 STEWART DR",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615907",
"telephone_number": "630-910-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 E OGDEN AVE",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605591246",
"telephone_number": "630-655-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNEY",
"first_name": "RUSSELL",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7476704",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02232677",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westmont, IL
- Robert Johann Malorny, DDS
- Jessica Mangan
- Brittany Lynn Mangin, LCPC
- Jeremy Jon Manlapaz
- Cherilyn M Manney, DPT
- Manor Care of Westmont Il LLC (ManorCare Health Services-Westmont)
- Jonathan Maravelias, APRN
- Samantha Mary Marek, R.D.
- Margaret E Brownlie DC PC (Brownlie Chiropractic)
- Marri Anesthetics LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.