Nathaniel Mancillas (NPI# 1023550720, PAC ID# 7618257452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1023550720 |
| PAC ID by PECOS | 7618257452 |
| Professional Enrollment ID | I20161213001071 |
| Full Name | Nathaniel Mancillas |
| Organization Legal Name | ATHLETICO LTD |
| Address |
1747 E 95th St Athletico Physical Therapy Chicago IL 60617-4708 |
| Phone Number | 7733758711 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4789602681 |
| Number of Group Practice Members | 810 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1747 E 95th St, Athletico Physical Therapy, Chicago, IL 60617-4708 | 7733758711 | ATHLETICO LTD |
| Organization Legal Name | ATHLETICO LTD |
| Physicians | 815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn Brady | Physical Therapy | Athletico Ltd | 430 Milwaukee Ave, Suite Aa, Lincolnshire, IL 60069-3016 |
| Wesley J Horn | Physical Therapy | Athletico Ltd | 405 N Wabash Ave, Chicago, IL 60611-3591 |
| Julianne M Phillips | Physical Therapy | Athletico Ltd | 14700 S La Grange Rd, Suite A, Orland Park, IL 60462-3250 |
| Lauren Anne Macnab | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Alec Hirschauer | Physical Therapy | Athletico Ltd | 5045 Bentley Dr, Suite 190, West Des Moines, IA 50265-7010 |
| Jordan M Ruedt | Physical Therapy | Athletico Ltd | 3077 N Mayfair Rd, Suite 105, Wauwatosa, WI 53222-4305 |
| Bernade Buena | Physical Therapy | Athletico Ltd | 1137 N Eola Rd, Suite 106, Aurora, IL 60502-7097 |
| Calvin K Ip | Physical Therapy | Athletico Ltd | 500 N Kingsbury St, Chicago, IL 60654-5721 |
| Olivia L Perozzi | Physical Therapy | Athletico Ltd | 223 W Jackson Blvd, Suite 225, Chicago, IL 60606-6908 |
| Arpit J Pathak | Physical Therapy | Athletico Ltd | 770 W Bartlett Rd, Bartlett, IL 60103-4482 |
| Street Address |
1747 E 95TH ST ATHLETICO PHYSICAL THERAPY |
| City | CHICAGO |
| State | IL |
| Zip | 60617-4708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol M Gordon | Physical Therapy | Athletico Ltd | 1747 E 95th St, Athletico Physical Therapy, Chicago, IL 60617-4708 |
| Robert F Chambers | Physical Therapy | Athletico Ltd | 1747 E 95th St, Athletico Physical Therapy, Chicago, IL 60617-4708 |
| Tiffany J Mclean | Physical Therapy | Athletico Ltd | 1747 E 95th St, Chicago, IL 60617-4708 |
| Katlyn Y Nasseri | Physical Therapy | Athletico Ltd | 1747 E 95th St, Chicago, IL 60617-4708 |
| Kenisha A Walker | Physical Therapy | Athletico Ltd | 1747 E 95th St, Chicago, IL 60617-4708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| C Tyson | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Jaspal Singh | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Khadeer K Ahmed | Internal Medicine | Nephrology Associates of Northern Illinois Ltd | 8012 S Crandon Ave, South Shore Hospital, Chicago, IL 60617-1124 |
| So J Kim | Anesthesiology | Steven R Greenwald Md Sc | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Sudheer Paruchuri | Interventional Radiology | Advanced Imaging Services | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Arpit Suresh Shah | Cardiovascular Disease (cardiology) | 8012 S Crandon Ave, Suite 100, Chicago, IL 60617-1124 | |
| Daniel P Saviano | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Frank M Marmo | Diagnostic Radiology | Advanced Imaging Services | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Mahdi A Alsaden | General Surgery | 8012 S Crandon Ave, Chicago, IL 60617-1124 | |
| Syed M Husain | Emergency Medicine | Crandon Emergency Physicians LLC | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
| Find all physicians in zip 60617 | |||
| City | CHICAGO |
| Zip Code | 60617 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CHICAGO + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.