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MANKAA VIFANSI
NPI 1104662121
Nurse Practitioner - Psychiatric/Mental Health in Waukegan, IL

Active since July 09, 2024
3010 GRAND AVE FL 1, WAUKEGAN, IL 60085(847) 377-8950(847) 984-5602 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Jul 10, 2024 (2 updates tracked since 2024).

About Mankaa Vifansi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANKAA VIFANSI (NPI 1104662121) is an individual psychiatric/mental health provider in Waukegan, Illinois, licensed in Illinois (209.029951) and active in the NPI registry since July 2024. She maintains a secondary practice location in Pleasant Prairie.

NPPES Registry Identity

NPI1104662121
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMANKAA VIFANSI
Location Address3010 GRAND AVE FL 1Waukegan, IL 60085-2321
Mailing Address10505 Corporate Dr Ste 105gPleasant Prairie, WI 53158-1605 · (224) 523-7883
Phone(847) 377-8950
Fax(847) 984-5602
Sole ProprietorYes
Enumeration DateJuly 9, 2024
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1104662121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.029951
3010 GRAND AVE FL 1, Waukegan, IL 60085
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Secondary Practice Location 1

Location 110505 Corporate Dr Ste 105GPleasant Prairie, WI 53158-1605 · Phone (224) 623-7883

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RANDAL R ZIMPEL BSW
Counselor (Mental Health)
3010 GRAND AVE FL 1
WAUKEGAN, IL 60085
Lake County (847) 377-8856
BRYAN K REYNOLDS
Counselor (Mental Health)
3010 GRAND AVE FL 1
WAUKEGAN, IL 60085
Lake County (847) 377-8000
LYNN ROBIN KOVEL RN, BSN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
3010 GRAND AVE FL 1
WAUKEGAN, IL 60085
Lake County (847) 377-8950
MELISA Y ALBARRAN
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE FL 1
WAUKEGAN, IL 60085
Lake County (847) 377-8031
WILLIAM P JACKSON MSW, LCSW, ACSW
Social Worker (Clinical)
3010 GRAND AVE FL 1
WAUKEGAN, IL 60085
Lake County (847) 377-8086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mankaa Vifansi's NPI number?

The NPI number for Mankaa Vifansi is 1104662121. It was assigned to this individual provider in the NPPES registry on July 9, 2024.

Where is Mankaa Vifansi located?

Mankaa Vifansi practices at 3010 Grand Ave Fl 1, Waukegan, IL 60085. The listed phone number is (847) 377-8950.

What is Mankaa Vifansi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mankaa Vifansi was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.