MRS. CARLY MANLEY NPI 1669244489

NPI Information

  • NPI: 1669244489
  • Provider Name: MRS. CARLY MANLEY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 525 E CONGRESS PKWY
    CRYSTAL LAKE, IL
    ZIP 60014
  • Phone: (815) 479-7490

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NPI Details

MRS. Carly Manley is a family nurse practitioner in Crystal Lake, IL with 7 years of experience. MRS. Carly Manley NPI is 1669244489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2019

The provider's business location address is:

525 E CONGRESS PKWY
CRYSTAL LAKE, IL
ZIP 60014-245
Phone: (815) 479-7490
Fax: (815) 455-2654

The NPI 1669244489 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 enumeration date for this NPI number is 10/25/2023 and was last updated on 4/30/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse041.486742ILLINOISNo
2363LF0000XNurse PractitionerFamily209.028716ILLINOISYes

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: 11/21/2025

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