EDWARD M MANNO (NPI# 1669444683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669444683 |
| Entity Type | Individual |
| Full Name | EDWARD M MANNO |
| Credential | M.D. |
| Practice Address |
675 N Saint Clair St Chicago IL 60611-5975 |
| Mailing Address |
625 N Michigan Ave Ste 1150 Chicago IL 60611-3110 |
| Practice Telephone | 3126957950 |
| Mailing Telephone | 3125036192 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
036141207 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
036141207 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 236933800 | 05 |
| Street Address |
675 N SAINT CLAIR ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-5975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459099 | Dana Rigsby Gossett | Obstetrics & Gynecology | 675 N Saint Clair St, Galter 14-200, Chicago, IL 60611-5975 | 2005-06-28 |
| 1679180921 | Mary Grace Kaleta | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2020-09-29 |
| 1790313955 | Jill Christine Maseman | Registered Nurse | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2020-03-31 |
| 1487291092 | Jacqueline Andrea Savinon | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2019-12-02 |
| 1518527589 | Monet Danielle Welton | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2019-06-20 |
| 1598245532 | Catherine Cassingham | Social Worker | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-08-20 |
| 1831677145 | Caroline Lee | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-07-30 |
| 1942796982 | Lindsay Victoria Brown | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-07-02 |
| 1437647989 | Margarita Mana-ay | Nurse Practitioner | 675 N Saint Clair St, Chicago, IL 60611-5975 | 2018-04-30 |
| 1447762018 | Melissa Minh Nguyet Truong | Physician Assistant | 675 N Saint Clair St, 15th Floor, Suite 200, Chicago, IL 60611-5975 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144616897 | Kathryn L Chubrilo | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1443 | 2015-04-09 |
| 1487095659 | Jared Davis | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1447 | 2013-07-16 |
| 1922391523 | Starane Anthony Shepherd | Psychiatry & Neurology | 1725 W Harrison St, Suite 1106, Chicago, IL 60612-3841 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669784559 | Hesham A Allam | Psychiatry & Neurology | 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 | 2010-07-08 |
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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.