| Howard S Mangurten Mdsc | |
|
990 Grand Canyon Parkway Suite 310 Hoffman Estates IL 60169 | |
| (847) 884-8420 | |
| (847) 884-0198 |
| Full Name | Howard S Mangurten Mdsc |
|---|---|
| Speciality | Internal Medicine |
| Location | 990 Grand Canyon Parkway, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Howard Sheldon Mangurten (PRESIDENT) |
| Authorized Official Contact | 8478848420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard S Mangurten Mdsc 990 Grand Canyon Parkway Suite 310 Hoffman Estates IL 60169 Ph: (847) 884-8420 | Howard S Mangurten Mdsc 990 Grand Canyon Parkway Suite 310 Hoffman Estates IL 60169 Ph: (847) 884-8420 |
| NPI Number | 1639219421 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 02/12/2008 |
| Medicare PECOS PAC ID | 5294832101 |
|---|---|
| Medicare Enrollment ID | O20070529000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639219421 | NPI | - | NPPES |
| 01628148 | Other | IL | BCBS |
| 1003990870 | Other | NPI | |
| 31603504 | Other | IL | BCBS |
| 1417055765 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Howard S Mangurten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003990870 PECOS PAC ID: 5395842207 Enrollment ID: I20070529000313 |
| Provider Name | Theresa I Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215128079 PECOS PAC ID: 0446384440 Enrollment ID: I20100812000592 |
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