Active NPI
Deepak Bahadur Manral, DC
- Chiropractor
- Zion, IL
National Provider Identifier
1619082344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 2629 Sheridan Rd
Suite 1a
Zion, IL 60099-2629 - Phone
- (847) 872-8230
- Fax
- (847) 872-8208
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
2629 Sheridan Rd
Suite 1a
Zion, IL 60099-2629
Mailing address
2629 Sheridan Rd
Suite 1a
Zion, IL 60099-2629
Phone (847) 872-8230
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009872 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Multi-Med SC | Chiropractor | Past | Accepting new patients |
| Jeffrey K . Bergin, DC, Dabci, SC | Past | Accepting new patients | |
| Center for Intergrative Health, SC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Glenview, IL
- NPI 1982920815
-
- Internist Chiropractor
- Zion, IL
- NPI 1538224118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619082344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 SHERIDAN RD",
"address_2": "SUITE 1A",
"city": "ZION",
"state": "IL",
"postal_code": "600992629",
"telephone_number": "847-872-8230",
"fax_number": "847-872-8208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 SHERIDAN RD",
"address_2": "SUITE 1A",
"city": "ZION",
"state": "IL",
"postal_code": "600992629",
"telephone_number": "847-872-8230",
"fax_number": "847-872-8208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRAL",
"first_name": "DEEPAK",
"middle_name": "BAHADUR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.