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Individual

SHELLI DAWN MANGIAMELI-MULLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPM

Contact information

Practice address
626 E OGDEN AVE, NAPERVILLE, IL 60563-3237
(313) 627-2992
Mailing address
43W132 BEITH RD, ELBURN, IL 60119-9567
(313) 627-2992

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
041533312
IL
176B00000X
Midwife
Primary
295000019
IL

Other

Enumeration date
04/29/2024
Last updated
02/08/2025
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