Organization
LUIS M MANGUBAT MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS M MANGUBAT MD (PRESIDENT)
(815) 588-3866
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 407, ELK GROVE VILLAGE, IL 60007-3361
(815) 588-3866
(815) 588-3006
Mailing address
800 BIESTERFIELD RD, SUITE 407, ELK GROVE VILLAGE, IL 60007-3361
(815) 588-3866
(815) 588-3006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
07/31/2007
Last updated
09/06/2023
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