ANITA CHANDRATHIL MANOGURA (NPI# 1124176987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124176987 |
| Entity Type | Individual |
| Full Name | ANITA CHANDRATHIL MANOGURA |
| Other Name | ANITA ACHAMMA CHANDRATHIL |
| Credential | MD |
| Practice Address |
1425 N Randall Rd Sherman Hosp Ste 1-2150 Elgin IL 60123-2300 |
| Mailing Address |
Po Box 743 Elgin IL 60121 |
| Practice Telephone | 2247738975 |
| Mailing Telephone | 2247738975 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
036-108204 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1124176987 | 01 |
| Street Address |
1425 N RANDALL RD SHERMAN HOSP STE 1-2150 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356310163 | Northwest Suburban Imaging Associates, S.c. | Radiology | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2006-03-15 |
| 1740888221 | Sylvia Moreno | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-10-15 |
| 1336765064 | Mohammed Nabeel Hameed | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-06-18 |
| 1861014318 | Heather Rose Krusemark | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-05-07 |
| 1629699616 | Tiffany Ann Via | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-04-30 |
| 1669011342 | Ashley Krynski | Nurse Anesthetist, Certified Registered | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-12-30 |
| 1023650132 | Nicole Carpenter | Counselor | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-10-09 |
| 1326507963 | Karen Sue Mcgann | Occupational Therapy Assistant | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-03-13 |
| 1033676978 | Jaclyn Mastrangeli | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2019-02-27 |
| 1508368523 | Abby Chovanec | Nurse Anesthetist, Certified Registered | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2018-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171877 | Jude R Duval | Obstetrics & Gynecology | 1425 N Randall Rd Ste 1-2150, Maternal Fetal Consultants, Sc, Elgin, IL 60123-2300 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639550767 | Robert Kaufmann | Obstetrics & Gynecology | 8220 Farmington Cemetery Rd, Pleasant Plains, IL 62677-3748 | 2015-06-15 |
| 1023413382 | Yvon Jeune Nazon | Obstetrics & Gynecology | 2315 E 93rd St Ste 309, Chicago, IL 60617 | 2014-10-29 |
| 1669761177 | Bethany Treas Stetson | Obstetrics & Gynecology | Northwestern Medical Group, 250 E Superior/03-2304, Chicago, IL 60611 | 2011-04-05 |
| 1821272162 | Farhan Hanif | Obstetrics & Gynecology | 1555 Barrington Rd Ste 215, Hoffman Estates, IL 60169-1063 | 2007-12-21 |
| 1922162551 | Andre Bieniarz | Obstetrics & Gynecology | 820 S. Wood St., M/c 808, Chicago, IL 60612-7313 | 2006-12-20 |
| 1366454316 | Franklyn C Christensen | Obstetrics & Gynecology | 611 W. Park St, Urbana, IL 61801-2500 | 2006-08-11 |
| 1548203615 | Lee C Yang | Obstetrics & Gynecology | 1555 North Barrington Road, Hoffman Estates, IL 60194 | 2006-06-14 |
| 1679524581 | Jill Kathleen Moran | Obstetrics & Gynecology | 3743 Highland Ave Ste 1002, Downers Grove, IL 60515-1594 | 2006-05-15 |
| 1679549299 | Nawar Hatoum | Obstetrics & Gynecology | 2507 N Halsted St, Chicago Maternal Fetal Medicine, S.c, Chicago, IL 60614-9267 | 2006-02-23 |
| 1346224797 | Xavier F Pombar | Obstetrics & Gynecology | 58 E Walton St Ste 3, Chicago, IL 60611-2292 | 2005-11-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.