MEDICARE: DENNIS TAKAMI MANSHIO M.D.

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
1	207Q00000X	Family Medicine Physician	036065850	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811026297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS TAKAMI MANSHIO M.D.

Provider Business Mailing Address
First Line	:	2907 S WABASH AVE STE 100A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-3271
Country	:	US
Telephone Number	:	773-477-3699
Fax Number	:	773-477-0624

Provider Business Practice Location Address
First Line	:	2907 S WABASH AVE STE 100A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-3271
Country	:	US
Telephone Number	:	773-477-3699
Fax Number	:	312-877-5049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	11/12/2024

Similar Medicare Providers

1710289111 — DENNIS T MANSHIO MD PHD SC
Practice Location Address:

2907 S WABASH AVE STE 100A
CHICAGO, IL
60616-3271

Practice Phone: 773-477-3699
Practice Fax: 312-877-5049

1437448602 — JUDITH A KING M.D.
Practice Location Address:

2907 S WABASH AVE STE 100A
CHICAGO, IL
60616-3271

Practice Phone: 773-477-3699
Practice Fax:

1659057719 — HEALING SELF WELLNESS CENTER
Practice Location Address:

1607 E 50TH PL
CHICAGO, IL
60615-3271

Practice Phone: 708-292-8339
Practice Fax:

1588517494 — CARA JAQUES LCPC
Practice Location Address:

1620 S MICHIGAN AVE UNIT 701
CHICAGO, IL
60616-4818

Practice Phone: 773-572-5500
Practice Fax:

1760357131 — AUDREY JEAN LOWRY APRN
Practice Location Address:

600 W CERMAK RD
CHICAGO, IL
60616-2268

Practice Phone: 312-427-6000
Practice Fax:

1699627174 — BOBBIE WOODS PMHNP
Practice Location Address:

2525 S MICHIGAN AVE
CHICAGO, IL
60616-2315

Practice Phone: 312-567-2446
Practice Fax:

Directions to “ DENNIS TAKAMI MANSHIO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.