Mancini, Anthony J

Mancini, Anthony J is an individual health care provider with primary practice located at 2300 Childrens Plaza #107, Chicago IL 60614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mancini, Anthony J can be contacted via phone (773) 327-3446.

Contact Information

Primary practice address
2300 Childrens Plaza #107 Chicago IL 60614
Phone: (773) 327-3446
Fax: (773) 327-3448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036092834 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036092834 Illinois

Profile Details

NPI number 1639147002
LBN Legal business name Mancini, Anthony J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 21st, 2011 - about 13 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 1639147002 NPPES
Illinois MEDICAID 036092834

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