Individual provider Active NPI

Manal M Elmusa, D.C.

  • Chiropractor
  • Bridgeview, IL
National Provider Identifier
1467700526
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012089 Issued in IL
Practice address
7271 W 87TH St
Bridgeview, IL 60455-1821
Phone
(708) 233-1100
Fax
(708) 233-1102
NPI assigned
Aug 21, 2012
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012089 IL Primary

Addresses

Primary practice location

7271 W 87TH St
Bridgeview, IL 60455-1821

Mailing address

7271 W 87TH St
Bridgeview, IL 60455-1821
Phone (708) 233-1100

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

State licenses

LicenseStateTypeSpecialty
038012089ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elmusa Chiropractic, Inc. Chiropractor CurrentSince Nov 30, 2012 Accepting new patients

Locations

7271 W 87th St
Bridgeview, IL 60455
Phone (708) 233-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1467700526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7271 W 87TH ST",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551821",
            "telephone_number": "708-233-1100",
            "fax_number": "708-233-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7271 W 87TH ST",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551821",
            "telephone_number": "708-233-1100",
            "fax_number": "708-233-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMUSA",
        "first_name": "MANAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.