Elcy Desmangles

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160000594 Issued in IL

Practice address

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Phone

(773) 665-3184

NPI assigned

Sep 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1992055933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 W MORSE AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMANGLES",
        "first_name": "ELCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160000594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Design Introspective Inc
• Djenann Claudine Desir
• Ralph Emmanuel Desir, DO, MS
• Ricodem Naudel Desir, MD
• Caroline Deskin, CCC-SLP
• Angela Desmond
• Ashwin Luis Desouza, MBBS, MS, MRCSED, DN
• Natalia Desouza, LPC
• Tiffany Desroches
• Germaine A Desruisseaux, NP

• All providers in Chicago, IL
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.