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

Melissa Manzuk, PA

Individual provider Physician Assistant · NPI 1053623686

Melissa Manzuk, PA is a Physician Assistant in Chicago, Illinois. Qualified in 2010, 16 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
16
Licensed in
IL, WI
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3134 N Clark St
Chicago, IL 60657-4414
Phone: (770) 880-9722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6434 W North Ave, Chicago, IL 60707-4030 — (773) 880-9722
  • 1000 Central St Ste 730, Evanston, IL 60201-1779 — (847) 570-2868

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085003751 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 5334 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 085-003751 (IL)

Record details

NPI number1053623686
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2010
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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