Mani N Subramanian MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036058679 Issued in IL

Legal business name

MANI N SUBRAMANIAN MD SC

Practice address

150 N River Rd
Suite 240
Des Plaines, IL 60016-1272

Phone

(847) 391-9877

Fax

(847) 391-9177

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mani N Subramanian, MD

Title

Owner

Phone

(847) 391-9877

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1477617629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 BIG BEND DR",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163517",
            "telephone_number": "847-640-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-391-9877",
            "fax_number": "847-391-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANI N SUBRAMANIAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "MANI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-391-9877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036058679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058679",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Mall, LCSW
• Evarisa Maloku, APRN, FNP-C
• Rani Mammen
• Lisa Mandl, LCPC, NCC, CCTP
• Holly Eve Mandziara, PT
• Marisha Mani
• Stephanie Marie Manjarrez, BSW, MSW, LCSW
• Elizabeth D Manjooran, M.D., MD
• Georgene Ann Manley, LCPC
• Jesus Antonio Manteca-Elias, M.D.

• Specialist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.