Healthcare Provider Details

I. General information

NPI: 1841103298
Provider Name (Legal Business Name): NEXTGEN CHIROPRACTIC MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 LILAC AVE
GLENVIEW IL
60025-1420
US

IV. Provider business mailing address

4735 LILAC AVE
GLENVIEW IL
60025-1420
US

V. Phone/Fax

Practice location:
  • Phone: 773-542-1111
  • Fax: 773-542-7100
Mailing address:
  • Phone: 773-542-1111
  • Fax: 773-542-7100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MANISH M PANDYA
Title or Position: OWNER
Credential: DC
Phone: 773-542-1111