Mangat, Amrit
Mangat, Amrit is an individual health care provider with primary practice located at 430 Pennsylvania Ave Suite 350, Glen Ellyn IL 60137-4464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Mangat, Amrit can be contacted via phone (630) 790-1700.Contact Information
Primary practice address
430 Pennsylvania Ave Suite 350
Glen Ellyn IL 60137-4464
Phone: (630) 790-1700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-102386 | Illinois |
Profile Details
NPI number | 1053455386 |
---|---|
LBN Legal business name | Mangat, Amrit |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 19th, 2007 |
Last updated | Dec 23rd, 2019 - about 6 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 | 1053455386 | NPPES |
Illinois | MEDICAID | 036102386 | |
Illinois | Other | P00749996 |
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