Active NPI
Mani-Sana, S.C.
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1871997650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036097673
- Legal business name
- MANI-SANA, S.C.
- Practice address
- 5140 N California Ave
Suite 525
Chicago, IL 60625-3645 - Phone
- (773) 769-1400
- Fax
- (773) 334-3091
- NPI assigned
- Oct 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rusalina C Muntean-Mincu
- Title
- Medical Director
- Phone
- (847) 828-3594
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036097673 | IL | Primary |
Addresses
Primary practice location
5140 N California Ave
Suite 525
Chicago, IL 60625-3645
Mailing address
1124 Forest Ave
Deerfield, IL 60015-2923
Phone (847) 405-9822
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1295782431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413936000000",
"number": "1871997650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 FOREST AVE",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600152923",
"telephone_number": "847-405-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"address_2": "SUITE 525",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "773-769-1400",
"fax_number": "773-334-3091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANI-SANA, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A",
"authorized_official_last_name": "MUNTEAN-MINCU",
"authorized_official_first_name": "RUSALINA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "847-828-3594"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036097673",
"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 Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.