Mangano, Alicia Mireya

Mangano, Alicia Mireya is an individual health care provider with primary practice located at 2222 W Division St , Chicago IL 60622-2717. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mangano, Alicia Mireya can be contacted via phone (773) 541-8100.

Contact Information

Primary practice address
2222 W Division St Chicago IL 60622-2717
Phone: (773) 541-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 209.016499 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.016499 Illinois

Profile Details

NPI number 1538688312
LBN Legal business name Mangano, Alicia Mireya
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2017
Last updated Apr 8th, 2020 - about 4 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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