Active NPI
Joel U Mann, MD
- Ophthalmology Physician
- Palos Heights, IL
National Provider Identifier
1386688265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036043316
- Practice address
- 6420 W 127TH St
Ste 108
Palos Heights, IL 60463 - Phone
- (708) 371-7838
- Fax
- (708) 371-7839
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036043316 | IL | Primary |
Addresses
Primary practice location
6420 W 127TH St
Ste 108
Palos Heights, IL 60463
Mailing address
6420 W 127TH St
Ste 108
Palos Heights, IL 60463
Phone (708) 371-7838
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182910098 | Other | IL | RR MED |
| 21624918 | Other | IL | BCBS |
| 036043316 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1386688265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 W 127TH ST",
"address_2": "STE 108",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463",
"telephone_number": "708-371-7838",
"fax_number": "708-371-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 W 127TH ST",
"address_2": "STE 108",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "60463",
"telephone_number": "708-371-7838",
"fax_number": "708-371-7839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JOEL",
"middle_name": "U",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036043316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MED",
"identifier": "182910098",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "21624918",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036043316",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palos Heights, IL
- Nick C Mallios, D.C.
- Megan Malone
- Ajie Jibu Mammarappallil, AGACNP
- Deborah Mancari, PT
- Allison J. Manley, PA-C
- Jake Anthony Manning, DO
- Philip Scott Manning, LPC
- Manor Care of Palos Heights (West) Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Palos Heights West))
- Manor Care of Palos Heights Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Palos Heights East))
- Lori Marasovich, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.