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Individual

ANTHONY J MANCINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2300 CHILDRENS PLAZA, #107, CHICAGO, IL 60614
(773) 327-3446
(773) 327-3448
Mailing address
2300 CHILDRENS PLAZA, #107, CHICAGO, IL 60614
(312) 227-6060
(312) 227-9402

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036092834
IL
208000000X
Pediatrics Physician
Primary
036092834
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036092834
IL
Enumeration date
03/10/2006
Last updated
09/21/2011
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