Jesus Mancilla is a Specialist in Chicago, Illinois. Jesus Mancilla practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jesus Mancilla is 1205965050. The last update date is 2007-07-08.
Jesus Mancilla's current location address is 3538 W Fullerton Ave, Chicago, Illinois. You can contact this provider via phone number 7737721212. The mailing address for Jesus Mancilla is 3538 W Fullerton Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesus Mancilla |
|---|---|
| Address | 3538 W Fullerton Ave, Chicago, Illinois |
| Phone Number | 7737721212 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RSA |
NPI Number Detail
| NPI Number | 1205965050 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3538 W Fullerton Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606472443 |
| Phone Number | 7737721212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jesus Mancilla by the Centers for Medicare & Medicaid Services?
The Jesus Mancilla has been assigned the NPI (National Provider Identifier) 1205965050 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jesus Mancilla's facilities are geographically located?
The facilities of Jesus Mancilla are physically situated at the following location: 3538 W Fullerton Ave, Chicago, IL, 606472443.
What is the Jesus Mancilla's area of specialization and corresponding taxonomy classification?
The Jesus Mancilla's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Jesus Mancilla's 1205965050 issued?
The Jesus Mancilla's 1205965050 was issued on 2007-03-05.
As of what date were the details related to Jesus Mancilla most recently updated or revised?
The information pertaining to Jesus Mancilla, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.