Organization
INTEGRA MEDICAL DOCTORS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN MANGUERRA (PRESIDENT)
(708) 529-7359
Entity
Organization
Contact information
Practice address
2815 FORBS AVE, SUITE 126, HOFFMAN ESTATES, IL 60192-3702
(708) 529-7359
(866) 264-2030
Mailing address
2815 FORBS AVE, SUITE 126, HOFFMAN ESTATES, IL 60192-3702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
04/21/2015
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