Individual
DR. MICHAEL WILLIAM MANGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
106 W PIERCE ST, ELBURN, IL 60119-8201
(630) 365-0899
(630) 365-9150
Mailing address
106 W PIERCE ST, ELBURN, IL 60119-8201
(630) 365-0899
(630) 365-9150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
08/23/2005
Last updated
01/31/2008
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