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

Dr. Divesh Manjani, MD

Individual provider Internal Medicine Physician · NPI 1780364000

Dr. Divesh Manjani, MD is an Internal Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
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

4646 N Marine Dr
Chicago, IL 60640-5759
Phone: (773) 564-5225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.081394 (IL)

Record details

NPI number1780364000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2023
Last updated in NPPESJuly 21, 2023
Certification dateJuly 20, 2023

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