Precious Hearts Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036087868 Issued in IL

Legal business name

PRECIOUS HEARTS PEDIATRICS, P.C.

Practice address

1595 E Oakton St
Des Plaines, IL 60018-2120

Phone

(847) 375-0707

Fax

(847) 375-0808

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth D Manjooran, M.D.

Title

President

Phone

(847) 375-0707

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1710168299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182120",
            "telephone_number": "847-375-0707",
            "fax_number": "847-375-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182120",
            "telephone_number": "847-375-0707",
            "fax_number": "847-375-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS HEARTS PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "MANJOORAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-375-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036087868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087868",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "91647858",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR.MANJOORAN NPI",
            "identifier": "1063575397",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard John Popp, M.T.
• Suzanne Porer, DPT, MSN, MS, RN
• Dache Michah Porter
• Carline Rose Poskonka, RBT
• Arjun Poudel
• Precise Care Clinical Lab Inc
• Precision in Motion Inc
• Preferred Anesthesia Services P C
• Premier Diagnostic Imaging Services Inc
• Premier Diagnostic Imaging Solutions, Inc.

• Pediatrics Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.