Organization Active NPI

David Manuel MD SC

  • Gastroenterology Physician
  • Dekalb, IL
National Provider Identifier
1972806347
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036120537 Issued in IL
Legal business name
DAVID MANUEL MD SC
Practice address
3251 Commerce Dr
Suite D
Dekalb, IL 60115-7908
Phone
(630) 390-1240
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
David Manuel, MD
Title
Physician and Owner
Phone
(630) 390-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 036120537 IL Primary

Addresses

Primary practice location

3251 Commerce Dr
Suite D
Dekalb, IL 60115-7908

Mailing address

3251 Commerce Dr
Suite D
Dekalb, IL 60115-7908
Phone (630) 390-1240

Other names 1

  • Gastrointestinal Health Institute Doing business as

National Provider Directory

National Provider Directory

Locations

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

3251 Commerce Dr
Ste D
DeKalb, IL 60115
Phone (630) 561-5566

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1972806347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 COMMERCE DR",
            "address_2": "SUITE D",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601157908",
            "telephone_number": "630-390-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 COMMERCE DR",
            "address_2": "SUITE D",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601157908",
            "telephone_number": "630-390-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MANUEL MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN AND OWNER",
        "authorized_official_telephone_number": "630-390-1240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036120537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastrointestinal Health Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.