Acute Mantis Care
Organization Active NPI Adult Mental Health Clinic/Center · Niles, IL
NPI 1467053306 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1467053306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- Legal business name
- ACUTE MANTIS CARE
- Practice address
- 7800 N Milwaukee Ave
Niles, IL 60714-3124 - Phone
- (312) 809-0777
- Fax
- (773) 492-8783
- NPI assigned
- Nov 6, 2020
- Organization subpart
- No
Authorized official
- Name
- Elena Tiran
- Title
- President
- Phone
- (773) 541-1826
Practitioners 3
-
Maria Andreea Bordeianu, FPA-APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210222001414 | IL | Part B Supplier - Clinic/Group Practice | 1850706052 |
Receives reassigned benefits from 1 practitioner Practice locations: Niles, IL |
National Provider Directory
Locations
6050 N California Ave
Ste 101
Chicago, IL 60659
Phone (312) 809-0777
6050 N California Ave
Chicago, IL 60659
Phone (847) 675-6093
7800 N Milwaukee Ave
Niles, IL 60714
Phone (312) 809-0777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Yes |
Addresses
Primary practice location
7800 N Milwaukee Ave
Niles, IL 60714-3124
Mailing address
6050 N California Ave
Chicago, IL 60659-3916
Phone (312) 809-0777
Other providers in Niles, IL
- Accelerated Rehabilitation Centers, LTD
- Access Care, LLC
- Accuquest Hearing Center, LLC
- Ace Medical Supply LLC
- Robin Ackerman
- Addus Healthcare Inc
- Adult Best Care LLC
- Advance Care Home Health, Inc.
- Advanced Healthcare PC
- Advanced Imaging Specialists, Inc
All providers in Niles, IL · Adult Mental Health Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.