Organization Active NPI

Manhattan Medical

  • Legal Medicine
  • Lemont, IL
National Provider Identifier
1679745210
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
036091635 Issued in IL
Legal business name
MANHATTAN MEDICAL
Practice address
15505 E 127TH St
Lemont, IL 60439-4433
Phone
(630) 243-8888
Fax
(630) 257-2664
NPI assigned
Mar 24, 2008
Organization subpart
Yes
Parent organization
MANHATTAN MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Vlad Badescu, MDNPI 1699761973
Title
Physician
Phone
(815) 464-5986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 036091635 IL Primary

Addresses

Primary practice location

15505 E 127TH St
Lemont, IL 60439-4433

Mailing address

32 W Nebraska St
Suite a
Frankfort, IL 60423-1800
Phone (815) 464-5986

Other identifiers 2

IdentifierTypeStateIssuer
209583OtherILMEDICARE
0360916351MedicaidIL

National Provider Directory

National Provider Directory
Part of
Manhattan Medical LLC

Locations

15505 E 127th St
Lemont, IL 60439
Phone (630) 243-8888

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1679745210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W NEBRASKA ST",
            "address_2": "SUITE A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231800",
            "telephone_number": "815-464-5986",
            "fax_number": "815-806-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15505 E 127TH ST",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394433",
            "telephone_number": "630-243-8888",
            "fax_number": "630-257-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANHATTAN MEDICAL",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BADESCU",
        "authorized_official_first_name": "VLAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "815-464-5986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036091635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "209583",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360916351",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.