NPIMap

Organization Active NPI

Manus Northwestern Oral Health Center

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1336311992
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MANUS NORTHWESTERN ORAL HEALTH CENTER
Practice address
676 N Michigan Ave
#3500
Chicago, IL 60611-2883
Phone
(312) 274-3333
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Leanne Wypych
Title
Business Manager
Phone
(312) 274-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

676 N Michigan Ave
#3500
Chicago, IL 60611-2883

Mailing address

676 N Michigan Ave
#3500
Chicago, IL 60611-2883
Phone (312) 274-3333

National Provider Directory

National Provider Directory
Tax ID family
Manus Health Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

676 N Michigan Ave
Ste 3500
Chicago, IL 60611
Phone (312) 274-3333

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1336311992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N MICHIGAN AVE",
            "address_2": "#3500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112883",
            "telephone_number": "312-274-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N MICHIGAN AVE",
            "address_2": "#3500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112883",
            "telephone_number": "312-274-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUS NORTHWESTERN ORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "WYPYCH",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "312-274-3333"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.