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

Mankaa Vifansi

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104662121

Mankaa Vifansi is a Psychiatric/Mental Health Nurse Practitioner in Waukegan, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

3010 Grand Ave Fl 1
Waukegan, IL 60085-2321
Phone: (847) 377-8950
Fax: (847) 984-5602
Show map & directions

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

Additional practice locations (1)

  • 10505 Corporate Dr Ste 105g, Pleasant Prairie, WI 53158-1605 — (224) 623-7883

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.029951 (IL)

Record details

NPI number1104662121
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 9, 2024
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address10505 Corporate Dr Ste 105g, Pleasant Prairie, WI 53158-1605

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