Individual
DR. HARLENE ROSEMARY MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.,D.C.,F.I.A.M.A.
Contact information
Practice address
1510 48TH STREET PL, MOLINE, IL 61265-3637
(309) 797-4000
(309) 797-5041
Mailing address
1510 48TH STREET PL, MOLINE, IL 61265-3637
(309) 797-4000
(309) 797-5041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006108
IL
111N00000X
Chiropractor
A05384
IA
111NR0200X
Radiology Chiropractor
9214347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038006108
—
IL
01
—
08182055
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/01/2006
Last updated
02/05/2010
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