Individual
DR. PAUL MANGANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 SPALDING DR, STE 400, NAPERVILLE, IL 60540-6508
(630) 967-6000
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036090792
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036090792
IL
Other
Enumeration date
05/30/2006
Last updated
08/10/2023
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