Mantilla, Nathalie

Mantilla, Nathalie is an individual health care provider with primary practice located at 1900 W Polk St # 406 , Chicago IL 60612-3723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is her primary health care specialty. Mantilla, Nathalie can be contacted via phone (312) 864-3197.

Contact Information

Primary practice address
1900 W Polk St # 406 Chicago IL 60612-3723
Phone: (312) 864-3197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036140788 Illinois
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036140788 Illinois

Profile Details

NPI number 1972828671
LBN Legal business name Mantilla, Nathalie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2010
Last updated Apr 27th, 2021 - 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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