Active NPI
Abdelhadi Mnabhi, D.C.
- Chiropractor
- Montgomery, IL
National Provider Identifier
1689717332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 115 N Main St
Montgomery, IL 60538-1298 - Phone
- (630) 801-8773
- Fax
- (630) 264-6734
- NPI assigned
- Feb 14, 2007
- 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
115 N Main St
Montgomery, IL 60538-1298
Mailing address
115 N Main St
Montgomery, IL 60538-1298
Phone (630) 801-8773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4727797 | Other | IL | BLUE CROSS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009118 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anette K. Mnabhi D.O. P.C. | Past | Accepting new patients | |
| Abdelhadi Mnabhi D.C. P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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
- Montgomery, IL
- NPI 1730364852
-
- Neuromusculoskeletal Medicine & OMM Physician
- Montgomery, IL
- NPI 1164604245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689717332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N MAIN ST",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605381298",
"telephone_number": "630-801-8773",
"fax_number": "630-264-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N MAIN ST",
"city": "MONTGOMERY",
"state": "IL",
"postal_code": "605381298",
"telephone_number": "630-801-8773",
"fax_number": "630-264-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MNABHI",
"first_name": "ABDELHADI",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4727797",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, 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.