Individual
DR. JOSEPH N MANGIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
8530 N 2ND ST, MACHESNEY PARK, IL 61115-2414
(815) 654-7777
(815) 654-7902
Mailing address
8530 N 2ND ST, MACHESNEY PARK, IL 61115-2414
(815) 654-7777
(815) 654-7902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006876
IL
Other
Enumeration date
08/30/2006
Last updated
04/14/2008
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