Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Diana Mnatsakanova, MD

Individual provider Clinical Neurophysiology Physician · NPI 1124394127

Dr. Diana Mnatsakanova, MD is a Neurology in Chicago, Illinois. Graduated from West Virginia University School of Medicine in 2012, 14 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
14
Trained at
West Virginia University School of Medicine
Licensed in
IL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1801 W Taylor St
Chicago, IL 60612-4795
Phone: (312) 996-6496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X · Licence 036146766 (IL)

Record details

NPI number1124394127
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2012
Last updated in NPPESSeptember 27, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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