Amy Manion, C.P.N.P., PHD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

209004161 Issued in IL

Practice address

680 N Lake Shore Dr
#123
Chicago, IL 60611-4546

Phone

(312) 642-5515

Fax

(312) 642-0753

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Becker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1609118348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "#123",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-642-5515",
            "fax_number": "312-642-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "#123",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-642-5515",
            "fax_number": "312-642-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANION",
        "first_name": "AMY",
        "credential": "C.P.N.P., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "209004161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BECKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mason Maniloff
• Rithin Manimaleth, DO
• Michael Maninang, PT
• Jennifer Maning
• Maureen L Maningo, MA, CCC-SLP
• Makenna Manis
• Manishkumar R Gandhi DDS PC
• Ashwinee Manivannan
• Divesh Manjani, MD
• Manjeet S Chawla MD LTD

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.