Organization Active NPI

Rabia Manzoor MD LTD

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1982953006
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036121105 Issued in IL
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 CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10900284MedicaidIL

Other names 1

  • kid care doctors Doing business as

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.

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.

Verify at the official NPI Registry.