Lillian Matanmi, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

041396959 Issued in IL

Practice address

3333 Green Bay Rd
North Chicago, IL 60064-3037

Phone

(312) 493-9653

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1386476562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037",
            "telephone_number": "312-493-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATANMI",
        "first_name": "LILLIAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041396959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Leonard Martin, MD
• Thomas E. Martin, PSY.D., LCPC
• Eryn Martinez, OD
• Elizabeth Grace Mason, LCSW
• Karona Monica Mason, DPM
• Bruce Liron Matchin, DOCTOR OF OSTEOPATHY
• Arun Mathew, PHARMD
• Joshua Dev Mathew, DDS, MPH
• Manjiri Miriam Mathew, PHARM D, BCPS
• Mintu Mathew, RN

• Critical Care Medicine Registered Nurse in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Critical Care Medicine Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.