Mangum, Sharon

Mangum, Sharon is an individual health care provider with primary practice located at 7400 183Rd St Tinley Park Mental Health Center, Tinley Park IL 60477-3688. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mangum, Sharon can be contacted via phone (708) 614-4000.

Contact Information

Primary practice address
7400 183Rd St Tinley Park Mental Health Center Tinley Park IL 60477-3688
Phone: (708) 614-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036069173 Illinois

Profile Details

NPI number 1457346744
LBN Legal business name Mangum, Sharon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated May 15th, 2008 - about 18 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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