Individual
ALESSANDRA MANTOVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST FL 2, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-9752
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(217) 545-2101
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036.165800
IL
207T00000X
Neurological Surgery Physician
F382
CA
207T00000X
Neurological Surgery Physician
TRN20344
FL
Other
Enumeration date
09/12/2014
Last updated
08/15/2023
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