MRS. ALICIA MIREYA MANGANO (NPI# 1538688312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538688312 |
Entity Type | Individual |
Full Name | MRS. ALICIA MIREYA MANGANO |
Credential | FNP-BC |
Practice Address |
2222 W Division St Chicago IL 60622-2717 |
Mailing Address |
2222 W Division St Ste 340 Chicago IL 60622-2995 |
Practice Telephone | 7735418100 |
Mailing Telephone | 7735418100 |
Mailing Fax Number | 7735418109 |
Enumeration Date | 2017-09-13 |
Last Update Date | 2020-04-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.016499 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
209.016499 | IL | Nursing Service Providers |
Street Address |
2222 W DIVISION ST |
City | CHICAGO |
State | IL |
Zip Code | 60622-2717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720086572 | Houshang Farahvar | Orthopaedic Surgery | 2222 W Division St, Suite 235, Chicago, IL 60622-2717 | 2005-07-13 |
1790307858 | Nwamaka Ezurike | Family Medicine | 2222 W Division St, Chicago, IL 60622-2717 | 2020-05-12 |
1285281386 | Francesca Pabalan | Emergency Medicine | 2222 W Division St, Chicago, IL 60622-2717 | 2019-08-22 |
1790344992 | Muderi Anju Aradi | Student in an Organized Health Care Education/Training Program | 2222 W Division St, Chicago, IL 60622-2717 | 2019-06-11 |
1851843692 | Body and Mind Medical | Dietitian, Registered | 2222 W Division St, Suite 130, Chicago, IL 60622-2717 | 2016-10-27 |
1750833596 | Claudia Bueno | Dietitian, Registered | 2222 W Division St, Suite 130, Chicago, IL 60622-2717 | 2016-10-27 |
1407268378 | Reem Mohammad | Podiatrist | 2222 W Division St, Suite 105, Chicago, IL 60622-2717 | 2014-05-28 |
1457787475 | Giovanni D. Giannotti Md, S.c. | Surgery | 2222 W Division St, Suite 335, Chicago, IL 60622-2717 | 2013-09-23 |
1932548500 | Dominik Cornelius Meyer | Podiatrist | 2222 W Division St, #105, Chicago, IL 60622-2717 | 2013-06-17 |
1336447150 | Korathu Thomas, M.d. | Internal Medicine | 2222 W Division St, Suite 210, Chicago, IL 60622 | 2011-03-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
Find all providers in zip 60622 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
Find all providers in CHICAGO |
Please comment or provide details below to improve the information on MRS. ALICIA MIREYA MANGANO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.