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MANIJEH GHAFOURI NPI 1023265543


NPI Information

NPI: 1023265543
Provider Name: MANIJEH GHAFOURI
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MINUTECLINIC DIAGNOSTIC OF ILLINOIS LLC

PECOS Registration: Yes

Address:
3333 CENTRAL ST
EVANSTON, IL
ZIP 60201
Phone: (847) 869-3800
Get Directions

Manijeh Ghafouri is a family nurse practitioner in Evanston, IL with 17 years of experience. Manijeh Ghafouri NPI is 1023265543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

3333 CENTRAL ST
EVANSTON, IL
ZIP 60201-150
Phone: (847) 869-3800

The NPI 1023265543 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 8/27/2008 and was last updated on 9/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily277.000199ILLINOISNo
2363LF0000XNurse PractitionerFamily309.003894ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.