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Contact Information

ALICIA M MANGANO, FNP-BC
2222 W DIVISION ST
CHICAGO, IL60622-2717
 Phone: 773-541-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for ALICIA M MANGANO · (Female)

NPI # 1538688312
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/13/2017
Last updated 04/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209.016499
Hospital affiliation(s)
  • RESURRECTION MEDICAL CENTER - (Acute Care)
    7435 W TALCOTT AVENUE
    CHICAGO, IL 60631
  • ST MARY & ELIZABETH MED CTR-DIVISION CAMPUS - (Acute Care)
    2233 W DIVISION ST
    CHICAGO, IL 60622
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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