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Contact Information

JOSEPH N MANGIARDI PC
8530 N 2ND ST
MACHESNEY PARK, IL61115-2414
 Phone: 815-654-7777
 Fax: 815-654-7902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JOSEPH N MANGIARDI PC

NPI Number 1376717157
LBN Legal business name JOSEPH N MANGIARDI PC
Authorized official JOSEPH MANGIARDI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2008
Last updated 09/08/2010 - About 16 years ago
Identifiers
IL License # 1971-8624
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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