Individual
BERNARDO MANGILIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7411 LAKE ST STE 2110, RIVER FOREST, IL 60305-1886
(312) 952-1270
Mailing address
88 W SCHILLER ST APT 2507, CHICAGO, IL 60610-4916
(312) 952-1270
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.007147
IL
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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