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NPI Code Detail

MEDICARE: SHILA MANINJI

MEDICARE: SHILA MANINJI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209019658IL

General Provider Information

NPI Number : 1275174252
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHILA MANINJI
Provider Business Mailing Address
First Line : 26895 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1268
Country : US
Telephone Number : 702-899-0595
Fax Number : 702-977-1496
Provider Business Practice Location Address
First Line : 2355 ROYAL BLVD
Second Line :
City : ELGIN
State : IL
Zip : 60123-4716
Country : US
Telephone Number : 872-231-3162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 12/18/2025

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Directions to “ SHILA MANINJI ” Practice Location

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