Individual provider Active NPI

Manol Atanassov, DC

  • Chiropractor
  • Glenview, IL
National Provider Identifier
1407625486
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038014103 Issued in IL
Practice address
4407 Hammersmith LN
Glenview, IL 60026-1090
Phone
(847) 687-2501
NPI assigned
Jan 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038014103 IL Primary

Addresses

Primary practice location

4407 Hammersmith LN
Glenview, IL 60026-1090

Mailing address

4407 Hammersmith LN
Glenview, IL 60026-1090
Phone (847) 687-2501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213000599 IL Practitioner - Chiropractic 2668815077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic and Acupuncture Center IncGroup PAC ID 2860442480, 2 clinicians

Practice addresses (Care Compare)

2604 Dempster St
Suite 304
Park Ridge, IL 60068-8427
Phone (847) 635-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Acupuncture Center Inc Chiropractor CurrentSince Jan 30, 2024 Accepting new patients

Locations

2604 Dempster St
Ste 304
Park Ridge, IL 60068
Phone (847) 265-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1407625486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 HAMMERSMITH LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261090",
            "telephone_number": "847-687-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 HAMMERSMITH LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261090",
            "telephone_number": "847-687-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANASSOV",
        "first_name": "MANOL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-01",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038014103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.