Active NPI 1801852454 Individual Practitioner Female Practitioner

Kerri A Manning , PA

Physician Assistant • Lisle, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kerri Manning, PA is a certified Physician Assistant practicing in Lisle, IL. With approximately 26 years of clinical experience since completing medical education in 2000, Kerri Manning delivers high-quality medical care to the local community at 430 WARRENVILLE RD STE 230.

Kerri Manning maintains professional affiliations with Northwestern Medical Faculty Foundation, Dupage Medical Group Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

430 Warrenville Rd Ste 230

Lisle, IL 605321348

Telephone 8886936437

Associated Practice Facility / Clinic

🏢 Dupage Medical Group, Ltd. Facility NPI 1295194686

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lisle, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +14.7 yrs vs City Avg

City Avg: 11.3 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

15 Specialists

Practicing in Lisle, IL (4958 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Manning (26 Years) 26 Yrs

Lisle Specialty Average (11.3 Years) 11.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	199	$257.57	$111.29
99213 Established patient office or other outpatient visit, typically 15 minutes	164	160	$175.15	$78.93
36415 Insertion of needle into vein for collection of blood sample	94	94	$20.00	$8.65
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	64	62	$267.00	$139.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	55	55	$40.00	$7.61
81003 Automated urinalysis test	45	45	$12.98	$2.20
80053 Blood test, comprehensive group of blood chemicals	42	42	$55.00	$10.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$376.38	$146.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$248.57	$96.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	34	$310.74	$157.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$103.17	$49.64
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$72.00	$12.54
87651 Detection test for Strep (Streptococcus, group A)	19	19	$180.00	$33.86
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	18	18	$161.33	$50.28
94640 Inhalation treatment for airway obstruction or sputum production	16	14	$42.00	$7.13
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	15	15	$1.93	$0.19
83690 Lipase (fat enzyme) level	15	15	$35.00	$6.75
87502 Detection test by nucleic acid for multiple types influenza virus	12	12	$231.00	$93.88
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$44.00	$8.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$443.00	$193.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	152	$233.73	$112.81
99213 Established patient office or other outpatient visit, typically 15 minutes	138	131	$162.39	$79.83
36415 Insertion of needle into vein for collection of blood sample	65	63	$20.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	59	57	$40.00	$7.61
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	49	49	$251.86	$139.78
80053 Blood test, comprehensive group of blood chemicals	44	42	$55.00	$10.35
81003 Automated urinalysis test	37	37	$12.22	$2.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	34	$97.26	$50.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	33	$310.63	$157.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$363.42	$147.67
94640 Inhalation treatment for airway obstruction or sputum production	31	24	$42.00	$8.23
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	26	24	$2.00	$0.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$238.80	$100.16
J7030 Infusion, normal saline solution , 1000 cc	17	14	$23.00	$2.53
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	16	14	$201.00	$57.37
80048 Blood test, basic group of blood chemicals (calcium, total)	15	15	$44.00	$8.29
87651 Detection test for Strep (Streptococcus, group A)	15	15	$180.00	$34.39
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	15	15	$156.20	$50.28
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$72.00	$12.91
96360 Infusion into a vein for hydration, 31-60 minutes	14	14	$156.00	$28.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	123	$163.89	$80.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	87	$233.13	$113.23
36415 Insertion of needle into vein for collection of blood sample	54	53	$20.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	48	48	$40.00	$7.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$237.32	$101.44
81003 Automated urinalysis test	38	37	$12.21	$2.22
80053 Blood test, comprehensive group of blood chemicals	37	37	$55.00	$10.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$359.00	$150.41
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	31	31	$75.00	$24.67
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	31	31	$300.00	$74.01
94640 Inhalation treatment for airway obstruction or sputum production	27	19	$42.00	$10.29
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	20	19	$1.95	$0.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$307.00	$161.71
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$72.00	$13.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$94.00	$51.05
83690 Lipase (fat enzyme) level	15	15	$35.00	$6.80
J7030 Infusion, normal saline solution , 1000 cc	14	14	$23.00	$2.63
96360 Infusion into a vein for hydration, 31-60 minutes	13	13	$156.00	$31.25
80048 Blood test, basic group of blood chemicals (calcium, total)	12	12	$44.00	$8.36
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	12	12	$138.00	$35.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	325	325	$85.00	$42.14
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	282	282	$51.00	$42.14
0012A Adm sarscov2 100mcg/0.5ml2nd	186	186	$85.00	$42.14
99213 Established patient office or other outpatient visit, typically 15 minutes	147	144	$157.42	$83.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	63	$230.47	$118.62
36415 Insertion of needle into vein for collection of blood sample	58	58	$20.00	$3.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	51	$94.00	$51.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	52	52	$40.00	$7.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$235.00	$101.25
81003 Automated urinalysis test	36	36	$12.00	$2.25
80053 Blood test, comprehensive group of blood chemicals	35	35	$55.00	$10.56
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$72.00	$13.59
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	19	19	$300.00	$75.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$307.00	$165.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$359.00	$154.08
80048 Blood test, basic group of blood chemicals (calcium, total)	17	17	$44.00	$8.46
J7030 Infusion, normal saline solution , 1000 cc	16	16	$23.00	$2.76
84484 Troponin (protein) analysis, quantitative	15	15	$51.00	$12.47
0011A Adm sarscov2 100mcg/0.5ml1st	14	14	$51.00	$26.61
96360 Infusion into a vein for hydration, 31-60 minutes	12	12	$156.00	$33.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	112	$234.82	$99.34
36415 Insertion of needle into vein for collection of blood sample	75	73	$20.00	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	68	67	$40.00	$7.72
80053 Blood test, comprehensive group of blood chemicals	60	59	$55.00	$10.49
99213 Established patient office or other outpatient visit, typically 15 minutes	58	57	$160.21	$67.82
G0008 Administration of influenza virus vaccine	47	47	$55.00	$17.75
90662 Influenza vaccine split virus, preservative free	46	46	$106.00	$60.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	44	$309.89	$133.27
81003 Automated urinalysis test	34	34	$12.00	$2.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$247.26	$98.81
J7030 Infusion, normal saline solution , 1000 cc	28	28	$23.00	$2.55
96360 Infusion into a vein for hydration, 31-60 minutes	27	27	$156.00	$31.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$359.00	$150.59
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$72.00	$15.53
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	19	17	$201.00	$65.97
86140 Measurement C-reactive protein for detection of infection or inflammation	15	15	$27.00	$5.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$443.00	$191.38
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	14	14	$300.00	$100.00
84484 Troponin (protein) analysis, quantitative	14	14	$51.00	$12.38
82550 Creatine kinase (cardiac enzyme) level, total	13	13	$33.00	$6.47
80048 Blood test, basic group of blood chemicals (calcium, total)	13	13	$44.00	$8.39
83615 Lactate dehydrogenase (enzyme) level	13	13	$30.00	$6.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$96.92	$41.88
83690 Lipase (fat enzyme) level	11	11	$35.00	$6.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	150	$163.72	$66.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	137	$235.20	$97.01
J0696 Injection, ceftriaxone sodium, per 250 mg	94	19	$30.00	$0.56
36415 Insertion of needle into vein for collection of blood sample	91	90	$20.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	83	83	$40.00	$8.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$243.51	$97.31
80053 Blood test, comprehensive group of blood chemicals	65	64	$55.00	$11.51
81003 Automated urinalysis test	47	47	$12.26	$2.44
J7030 Infusion, normal saline solution , 1000 cc	41	39	$23.00	$2.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$364.03	$149.20
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	27	22	$201.00	$63.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$311.88	$123.62
96360 Infusion into a vein for hydration, 31-60 minutes	26	26	$156.00	$33.29
80048 Blood test, basic group of blood chemicals (calcium, total)	22	22	$44.00	$8.86
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	21	19	$138.00	$35.51
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$72.00	$14.51
81001 Manual urinalysis test with examination using microscope, automated	17	17	$16.00	$3.28
94640 Inhalation treatment for airway obstruction or sputum production	16	16	$46.13	$16.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$94.00	$40.88
84484 Troponin (protein) analysis, quantitative	15	15	$51.00	$11.43
83690 Lipase (fat enzyme) level	15	15	$35.00	$7.50
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	14	14	$2.00	$0.14
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$64.18	$14.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	193	187	$149.11	$61.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	115	$220.31	$91.35
36415 Insertion of needle into vein for collection of blood sample	102	100	$20.00	$2.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	95	94	$40.00	$9.14
80053 Blood test, comprehensive group of blood chemicals	83	82	$55.00	$12.37
J2405 Injection, ondansetron hydrochloride, per 1 mg	52	13	$10.00	$0.08
J0696 Injection, ceftriaxone sodium, per 250 mg	52	13	$30.00	$0.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$229.59	$95.88
81003 Automated urinalysis test	44	44	$12.00	$2.71
94640 Inhalation treatment for airway obstruction or sputum production	34	24	$42.00	$16.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$355.89	$146.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$86.95	$36.86
J7030 Infusion, normal saline solution , 1000 cc	33	32	$23.00	$2.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$300.56	$123.80
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	27	27	$138.00	$40.57
93000 Routine ekg using at least 12 leads including interpretation and report	27	26	$72.00	$14.29
96361 Hydration infusion into a vein	26	26	$45.00	$12.07
96360 Infusion into a vein for hydration, 31-60 minutes	26	25	$156.00	$39.48
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	24	23	$2.00	$0.13
83690 Lipase (fat enzyme) level	20	20	$35.00	$8.34
84484 Troponin (protein) analysis, quantitative	20	19	$51.00	$11.11
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	17	17	$201.00	$63.52
69209 Removal of impacted ear wax by washing	16	15	$27.00	$12.89
85610 Blood test, clotting time	15	15	$20.00	$4.75
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	15	15	$16.00	$1.10
80048 Blood test, basic group of blood chemicals (calcium, total)	15	15	$44.00	$10.23
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$155.87	$65.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$435.62	$174.49
87502 Detection test by nucleic acid for multiple types influenza virus	14	14	$437.00	$96.17
85652 Red blood cell sedimentation rate, to detect inflammation, automated	11	11	$14.00	$3.26
90471 Administration of 1 vaccine	11	11	$55.00	$18.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	95	$144.95	$61.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	83	$222.46	$93.89
36415 Insertion of needle into vein for collection of blood sample	77	74	$20.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	71	69	$40.00	$10.45
80053 Blood test, comprehensive group of blood chemicals	56	55	$55.00	$14.20
J2405 Injection, ondansetron hydrochloride, per 1 mg	48	11	$10.00	$0.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$232.54	$94.99
J7030 Infusion, normal saline solution , 1000 cc	36	35	$23.00	$1.97
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$72.00	$15.25
81003 Automated urinalysis test	28	28	$12.00	$3.02
96361 Hydration infusion into a vein	24	23	$45.00	$13.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$85.09	$36.10
96360 Infusion into a vein for hydration, 31-60 minutes	22	22	$156.00	$51.89
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	20	20	$201.00	$62.13
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	19	18	$138.00	$51.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$359.00	$140.97
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$279.94	$122.00
80048 Blood test, basic group of blood chemicals (calcium, total)	17	16	$44.00	$11.15
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	16	16	$16.00	$0.99
83690 Lipase (fat enzyme) level	14	13	$35.00	$9.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$443.00	$185.65
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$160.00	$67.20

Medical Specialties & State Licenses

CMS Verified: 2023-07-24

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-001435

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Dupage Medical Group Ltd

430 Pennsylvania Ave, Glen Ellyn, IL 601374464

Phone: 6304699200

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

636 Raymond Dr, Naperville, IL 605639789

Phone: 6304162300

Dupage Medical Group Ltd

40 S Clay St, Hinsdale, IL 605213257

Northwestern Medical Faculty Foundation

885 Roosevelt Rd, Glen Ellyn, IL 601376141

Northwestern Medical Faculty Foundation

1001 Commerce Dr, Oak Brook, IL 605238865

Dupage Medical Group Ltd

1800 N Main St, Wheaton, IL 601873149

Phone: 6306656200

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451673

Phone: 3129266146

Dupage Medical Group Ltd

1325 N Meacham Rd, Schaumburg, IL 601734824

Phone: 8883859669

Northwestern Medical Faculty Foundation

7 Blanchard Cir, Wheaton, IL 601892038

Phone: 6306820500

Dupage Medical Group Ltd

30 Stratford Dr, Bloomingdale, IL 601082201

Phone: 6308932210

Northwestern Medical Faculty Foundation

2635 Church Rd, Aurora, IL 605028943

Phone: 6303156900

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Dupage Medical Group Ltd

430 Warrenville Rd, Lisle, IL 605321348

Phone: 6304326180

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Uzma Shamsi , MS, FNP-C

Nurse Practitioner

NPI 1003334418

Master of Science, Family Nurse Practitioner (Certified)

Dr. Jordan Moskoff , MD

Emergency Medicine

NPI 1033228879

Doctor of Medicine (M.D.)

Dr. Erika Clayton , MD

Emergency Medicine

NPI 1033401153

Doctor of Medicine (M.D.)

Dr. John Dymowski , MD

Emergency Medicine

NPI 1053312280

Doctor of Medicine (M.D.)

Dr. Brian Lenahan , DO

Family Medicine

NPI 1053462788

Doctor of Osteopathic Medicine (D.O.)

Thomas Reardon , PA

Physician Assistant - Medical

NPI 1073527511

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 24, 2023

Registered at 430 WARRENVILLE RD STE 230, LISLE, IL 605321348 (Tel: 8886936437)

📍

Updated Business Mailing Address July 24, 2023

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606770001

📍

Updated Practice Location June 15, 2022

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606748609 (Tel: 6304699200)

✅

NPI Profile Active December 21, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 21, 2009

Registered at 1020 E OGDEN AVE, 115, NAPERVILLE, IL 605638609 (Tel: 6307178707)

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Updated Business Mailing Address December 21, 2009

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606740018

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Provider Name / Credentials Updated December 21, 2009

Recorded as KERRI MANNING, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2009

Physician Assistant (License #085-001435 in IL)

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Initial NPI Registration & Enumeration April 24, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801852454

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 24, 2006

Last Update: July 24, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1860 Paysphere Cir

Chicago, IL 606770001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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