Individual
BRIDGET MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3559 W 101ST ST, EVERGREEN PARK, IL 60805-3708
(312) 438-7518
Mailing address
10245 S SEELEY AVE, CHICAGO, IL 60643-2038
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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