Bernardo Mangilin

NPI #1578238374 in River Forest, Illinois

Provider Information

NPI Number: 1578238374
Entity Type: Individual
Name: Bernardo Mangilin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 12, 2021
Last Updated: Aug 12, 2021

Practice Location

Address: 7411 LAKE ST STE 2110
City: River Forest
State: Illinois
ZIP Code: 60305-1886
Phone: (312) 952-1270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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