Mangruen, Donna Marie
Mangruen, Donna Marie is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mangruen, Donna Marie can be contacted via phone (773) 702-7812.Contact Information
Primary practice address
5841 S Maryland Ave
Chicago IL 60637-1447
Phone: (773) 702-7812
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 209.009325 | Illinois |
Profile Details
| NPI number | 1184982753 |
|---|---|
| LBN Legal business name | Mangruen, Donna Marie |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2012 |
| Last updated | May 2nd, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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