Mancini, Antonio

Mancini, Antonio is an individual health care provider with primary practice located at 15234 S Harlem Ave , Orland Park IL 60462-4330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Mancini, Antonio can be contacted via phone (708) 633-4544.

Contact Information

Primary practice address
15234 S Harlem Ave Orland Park IL 60462-4330
Phone: (708) 633-4544
Fax: (708) 614-0607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036-115425 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-115425 Illinois

Profile Details

NPI number 1629091251
LBN Legal business name Mancini, Antonio
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 26th, 2023 - about last year

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 1629091251 NPPES
Illinois MEDICAID 36-115425
Illinois Other 036-115425
Illinois Other IL3265
Illinois Other P00401392

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