TYLER MANSON


Address: 4146 N Lincoln Ave, Apt #2, Chicago, IL 60618-3061
Phone: 5034092657

TYLER MANSON (NPI# 1679833131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679833131
Entity Type Individual
Full Name TYLER MANSON
Credential DPM
Practice Address 4146 N Lincoln Ave
Apt #2
Chicago
IL 60618-3061
Mailing Address 9933 Lawler Ave
#225
Skokie
IL 60077-3703
Practice Telephone 5034092657
Mailing Telephone 7733212681
Mailing Fax Number 8476742113
Enumeration Date 2012-05-17
Last Update Date 2017-02-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 016005573 IL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 016005573 05

Office Location

Street Address 4146 N LINCOLN AVE
APT #2
City CHICAGO
State IL
Zip Code 60618-3061

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134741622 Cvs Aoc Services, L.L.C. Optometrist 4051 North Lincoln, Store 8751, Chicago, IL 60618 2020-05-07
1699317404 Joseph Thank Harmon Registered Nurse 5645 W Addison, Chicago, IL 60618 2019-10-14
1760952626 Prep Performance Center, LLC Clinic/Center 4022 N Rockwell Street, Chicago, IL 60618 2018-12-04
1528540986 Ruby Erdmann Dietitian, Registered 3126 N Kimball Ave. #3w, Chicago, IL 60618 2018-09-02
1962997064 Living Roots Psychotherapy, LLC Clinic/Center 4310 N Spaulding Ave, Chicago, IL 60618 2018-06-30
1962920116 Alif Muhammad Counselor 3819 W Cornelia Ave #2, Chicago, IL 60618 2017-09-07
1417471178 Daniel Lee Mcmillan Counselor 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 2017-08-03
1508380486 Callie Weinberg Social Worker 2945 N Damen Ave, 1s, Chicago, IL 60618 2017-08-01
1275062697 Melissa Ann Prest Dietitian, Registered 3258 W Warner Ave, Apt 2, Chicago, IL 60618 2017-06-08
1871951038 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 4315 N. Lincoln Avenue, Chicago, IL 60618 2016-02-03
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114533700 Podiatric Management Systems LLC Podiatrist 537 W 31st St, Chicago, IL 60616-3294 2020-09-18
1679187090 Podiatric Management Systems LLC Podiatrist 5600 W Addison St Lowr 2ll, Chicago, IL 60634-4499 2020-09-02
1932742848 Foot and Ankle Care & Associates, Ltd Podiatrist 3320 W 63rd St, Chicago, IL 60629-3317 2019-10-23
1437622966 Tomasz Szmyd Dpm, PC Podiatrist 1500 E 67th St, Chicago, IL 60637-4427 2019-01-08
1548746761 Jeremy Marchand Podiatrist 2751 W Winona St Rm Ap457, Chicago, IL 60625-2508 2018-07-11
1770004814 Andrew Alward Podiatrist 2027 W Division St # 180, Chicago, IL 60622-9024 2017-06-28
1043730625 Mary Elizabeth Hickner Podiatrist 2751 W Winona St Apt 457, Chicago, IL 60625-2508 2017-06-23
1225489172 Alison Dawn Traffanstedt Young Podiatrist 30 N Michigan Ave Ste 1129, Chicago, IL 60602-3478 2016-06-22
1922454131 Mary Cobb Podiatrist 1428 E 69th St, Chicago, IL 60637-4804 2016-05-05
1407233760 Aaron Raestas Podiatrist 730 S Dearborn St # T, Chicago, IL 60605-1838 2015-05-06
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60618

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Dataset Information

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.

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