Mantilla Surgical Sc
NPI #1477189959 in River Forest, Illinois
Provider Information
- NPI Number
- 1477189959
- Entity Type
- Organization
- Organization Name
- Mantilla Surgical Sc
- Primary Specialty
- Colon & Rectal Surgery
- Enumeration Date
- Mar 17, 2020
- Last Updated
- Mar 17, 2020
Practice Location
- Address
- 42 GALE AVE
- City
- River Forest
- State
- Illinois
- ZIP Code
- 60305-2010
- Phone
- (312) 927-5299
Authorized Official
- Name
- DR. NATHALIE MANTILLA, MD
- Title
- PRESIDENT
- Phone
- (312) 927-5299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Colon & Rectal Surgery |
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