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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639147002 | NPPES |
Illinois | MEDICAID | 036092834 |
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