Individual provider Active NPI

Curtis G Mann, M.D.

  • Family Medicine Physician
  • Orland Park, IL
National Provider Identifier
1720003049
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36-093603 Issued in IL
Practice address
15300 West Ave
Orland Park, IL 60462-4600
Phone
(708) 460-5550
Fax
(708) 226-2595
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36-093603 IL Primary

Addresses

Primary practice location

15300 West Ave
Orland Park, IL 60462-4600

Mailing address

1329 N Wolf Rd
Mount Prospect, IL 60056-1500
Phone (847) 803-3040

Other practice location 1

1329 N Wolf Rd
Mount Prospect, IL 60056-1500
Phone (847) 803-3040

Other identifiers 1

IdentifierTypeStateIssuer
L60245OtherILPIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmann203613@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000808 IL Practitioner - Family Practice 0446280184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1329 N Wolf Rd
Mount Prospect, IL 60056-1500
Phone (847) 803-3040

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Residential Home Health Home health agency, Schaumburg, IL, CCN 147094
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36-093603ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Aug 17, 2009 Accepting new patients
Endeavor Health Medical Group Family Medicine CurrentSince Aug 17, 2009 Accepting new patients
Palos Community Hospital Past Accepting new patients
Palos Community Hospital Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Rm 1223
Evanston, IL 60201
Phone (847) 570-1644

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

1329 N Wolf Rd
Mt Prospect, IL 60056
Phone (847) 803-3040

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

Interoperability endpoints

  • Direct secure messaging: cmann203613@direct.northshore.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720003049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 N WOLF RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561500",
            "telephone_number": "847-803-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "708-460-5550",
            "fax_number": "708-226-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 N Wolf Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600561500",
            "country_code": "US",
            "telephone_number": "847-803-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "CURTIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-07",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36-093603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "L60245",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmann203613@direct.northshore.org",
            "affiliation": "N",
            "address_1": "1329 N Wolf Rd",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600561500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.