Individual
JUILIO A MANCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8125 RIVER DR, MORTON GROVE, IL 60053-2642
(615) 778-4066
Mailing address
5080 SPECTRUM DR, SUITE 1200W, ADDISON, TX 75001-4648
(972) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
036-059326
IL
Other
Enumeration date
03/23/2007
Last updated
02/18/2010
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