Individual
DR. JORGE LUIS ALARCON MANGINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55947-20
WI
208M00000X
Hospitalist Physician
Primary
55947-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017967
—
WI
Enumeration date
09/13/2010
Last updated
11/18/2021
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