Mangrum, Denise Michelle

Mangrum, Denise Michelle is an sole proprietor health care provider with primary practice located at 252 Rich Rd , Park Forest IL 60466-1630. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Mangrum, Denise Michelle can be contacted via phone (773) 971-2230.

Contact Information

Primary practice address
252 Rich Rd Park Forest IL 60466-1630
Phone: (773) 971-2230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1164142212
LBN Legal business name Mangrum, Denise Michelle
Credentials DT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2022
Last updated Aug 30th, 2022 - about 2 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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