Individual
CHRISTIAN MANGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5109 N KENNETH AVE, CHICAGO, IL 60630-2622
(773) 251-4590
Mailing address
5109 N KENNETH AVE, CHICAGO, IL 60630-2622
(773) 251-4590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008439
IL
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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