Alarcon Mangini, Jorge Luis

Alarcon Mangini, Jorge Luis is an individual health care provider with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Alarcon Mangini, Jorge Luis can be contacted via phone (312) 864-6000.

Contact Information

Primary practice address
1901 W Harrison St Chicago IL 60612-3714
Phone: (312) 864-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55947-20 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 55947-20 Wisconsin

Profile Details

NPI number 1689981508
LBN Legal business name Alarcon Mangini, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2010
Last updated Nov 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689981508 NPPES
Wisconsin MEDICAID 100017967

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