# HOWARD S MANGURTEN MDSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639219421
- **Authorized official:** DR. HOWARD SHELDON MANGURTEN MD (PRESIDENT)
- **Authorized official phone:** (847) 884-8420

## Contact information

- **Practice address:** 990 GRAND CANYON PARKWAY, SUITE 310, HOFFMAN ESTATES, IL 60169
- **Practice address phone:** (847) 884-8420
- **Practice address fax:** (847) 884-0198
- **Mailing address:** 990 GRAND CANYON PARKWAY, SUITE 310, HOFFMAN ESTATES, IL 60169
- **Mailing address phone:** (847) 884-8420
- **Mailing address fax:** (847) 884-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | IL | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 02/12/2008