Active NPI
Rabia Manzoor MD LTD
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1982953006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036121105
- Legal business name
- RABIA MANZOOR MD LTD
- Practice address
- 2254 S Cicero Ave
Chicago, IL 60804-2411 - Phone
- (708) 222-9170
- NPI assigned
- Sep 5, 2012
- Organization subpart
- Yes
- Parent organization
- S CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rabia Manzoor, MD
- Title
- Director
- Phone
- (317) 417-5545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036121105 | IL | Primary |
Addresses
Primary practice location
2254 S Cicero Ave
Chicago, IL 60804-2411
Mailing address
1997 Divine Dr
Rockford, IL 61107-5508
Phone (317) 417-5545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10900284 | Medicaid | IL |
Other names 1
- kid care doctors
National Provider Directory
National Provider Directory- Part of
- Rabia Manzoor MD LTD
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- In Home Supportive Care Agency
- Chicago, IL
- NPI 1255742953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1982953006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1997 DIVINE DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075508",
"telephone_number": "317-417-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2254 S CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "608042411",
"telephone_number": "708-222-9170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RABIA MANZOOR MD LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "S CORPORATION",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A",
"authorized_official_last_name": "MANZOOR",
"authorized_official_first_name": "RABIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "317-417-5545",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": "036121105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10900284",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "kid care doctors",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.