Jesus Antonio Manteca-Elias, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

494 Lee St
Des Plaines, IL 60016-4607

Phone

(847) 297-1515

Fax

(847) 297-3390

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821066879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 WEEG WAY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681230",
            "telephone_number": "847-384-0346",
            "fax_number": "847-384-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164607",
            "telephone_number": "847-297-1515",
            "fax_number": "847-297-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTECA-ELIAS",
        "first_name": "JESUS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "26132",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03609197802",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mani N Subramanian MD SC
• Marisha Mani
• Stephanie Marie Manjarrez, BSW, MSW, LCSW
• Elizabeth D Manjooran, M.D., MD
• Georgene Ann Manley, LCPC
• Marian Healthcare Services, LLC
• Market Square Pharmacy
• Amy Marrotte
• Charles Patrick Marth, ATC/L
• Martin J Pollak MD SC

• Family Medicine Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Family Medicine Physician in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.