Ep Mann MD LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EP MANN MD LTD

Practice address

5850 West Lllth Street
Chicago Ridge, IL 60415-2220

Phone

(708) 425-2466

Fax

(708) 425-4796

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Edward Philip Mann, MD

Title

President

Phone

(708) 425-2466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1437277928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620379",
            "telephone_number": "708-460-9836",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 WEST LLLTH STREET",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152220",
            "telephone_number": "708-425-2466",
            "fax_number": "708-425-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP MANN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-425-2466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.