Organization Active NPI

Midwest Perinatal Consultants, SC

  • Medical Specialty Clinic/Center
  • Elgin, IL
National Provider Identifier
1396014288
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MIDWEST PERINATAL CONSULTANTS, SC
Practice address
1425 N Randall Rd
Sherman Hosp, Suite 1-2150
Elgin, IL 60123-2300
Phone
(224) 783-8975
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Anita Manogura, MDNPI 1124176987
Title
Owner/Physician
Phone
(224) 783-8975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X IL Primary

Addresses

Primary practice location

1425 N Randall Rd
Sherman Hosp, Suite 1-2150
Elgin, IL 60123-2300

Mailing address

PO Box 743
Elgi, IL 60121

Other identifiers 1

IdentifierTypeStateIssuer
1124176987OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1425 N Randall Rd
Ste 12150
Elgin, IL 60123
Phone (224) 773-8975

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1396014288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "ELGI",
            "state": "IL",
            "postal_code": "60121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N RANDALL RD",
            "address_2": "SHERMAN HOSP, SUITE 1-2150",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232300",
            "telephone_number": "224-783-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PERINATAL CONSULTANTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "MANOGURA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "224-783-8975",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1124176987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.