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

Dr. Thaddeus Manczko, MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1073553004

Dr. Thaddeus Manczko, MD is an Emergency Medical Services (Emergency Medicine) Physician in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

350 N Wall St
Kankakee, IL 60901-2901
Phone: (815) 933-1671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 036-100560 (IL)

Record details

NPI number1073553004
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESJune 3, 2008
Mailing address2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598