Organization Active NPI

Librada M.Manaligod,MD.S.C

  • Specialist
  • Chicago, IL
National Provider Identifier
1750583324
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
IL 36-048765 Issued in IL
Legal business name
LIBRADA M.MANALIGOD,MD.S.C
Practice address
104 S Michigan Ave
Suite 830
Chicago, IL 60603-5902
Phone
(312) 372-8384
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Librada M Manaligod, M.D.
Title
President
Phone
(312) 372-8384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL 36-048765 IL Primary

Addresses

Primary practice location

104 S Michigan Ave
Suite 830
Chicago, IL 60603-5902

Mailing address

104 S Michigan Ave
Suite 830
Chicago, IL 60603-5902
Phone (312) 372-8384

National Provider Directory

National Provider Directory

Locations

104 S Michigan Ave
Ste 830
Chicago, IL 60603
Phone (312) 263-2443

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750583324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S MICHIGAN AVE",
            "address_2": "SUITE 830",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035902",
            "telephone_number": "312-372-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MICHIGAN AVE",
            "address_2": "SUITE 830",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606035902",
            "telephone_number": "312-372-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRADA M.MANALIGOD,MD.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANALIGOD",
        "authorized_official_first_name": "LIBRADA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-372-8384",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "IL 36-048765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.