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Organization
MANTALITY ILLINOIS LLC
Active
Organization
MANTALITY ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MEURET (OWNER)
(314) 254-2420
Entity
Organization
Contact information
Practice address
155 N WACKER DR # 3000, CHICAGO, IL 60606-1787
(314) 254-2420
Mailing address
155 N WACKER DR # 3000, CHICAGO, IL 60606-1787
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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