Individual
DR. SUSAN AGUILA MANGAHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 E LAKE ST, SUITE 203, HANOVER PARK, IL 60133-4896
(630) 830-5926
(630) 830-5938
Mailing address
1542 BLUESTEM LN, GLENVIEW, IL 60026-7775
(847) 729-6574
(847) 486-0186
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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