Active NPI
Manju Mary Franklin, NP
- Family Nurse Practitioner
- Des Plaines, IL
National Provider Identifier
1811517576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.021150
- Practice address
- Family Behavior Center
1455 E Golf Road, Suite 207
Desplaines, IL 60714-6071 - Phone
- (847) 274-2267
- NPI assigned
- Apr 23, 2020
- Last updated
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.021150 | IL | Primary |
Addresses
Primary practice location
Family Behavior Center
1455 E Golf Road, Suite 207
Desplaines, IL 60714-6071
Mailing address
9007 N Greenwood Ave
Niles, IL 60714-1417
Phone (773) 710-6975
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.021150 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Psychiatry & Counseling, SC. | Past | Accepting new patients | |
| Covenant Psychiatry PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Niles, IL
- NPI 1932056470
-
- Psychiatry Physician
- Bloomingdale, IL
- NPI 1669563789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1811517576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9007 N GREENWOOD AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607141417",
"telephone_number": "773-710-6975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY BEHAVIOR CENTER",
"address_2": "1455 E GOLF ROAD, SUITE 207",
"city": "DESPLAINES",
"state": "IL",
"postal_code": "607146071",
"telephone_number": "847-274-2267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANKLIN",
"first_name": "MANJU",
"middle_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.021150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
- Tara S. Fox, DPM
- Olive Mireille Foyet Pieplie Noubouss
- Lucille Francis, LMT
- Maria Evelin Frangioni
- Robert Frank
- Frederic K Renold MD SC (Aaronson Asthma & Allergy Assoc)
- Christopher Robert Frederick
- Kaitlyn Maureen Fredian
- Freight Unlimited Inc (Greater Chicago Transit)
- Fresenius Medical Care Des Plaines, LLC (Fresenius Medical Care Des Plaines)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.