Individual
SAMANTHA MANGIONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 NATIONS DR STE 110, GURNEE, IL 60031-9175
(224) 209-7687
Mailing address
2057 PROVIDENCE DR, BARTLETT, IL 60103-1368
(224) 209-7687
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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