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James Mangerson, PA-C
NPI 1093078446 · on the registry since 2012
Practice
- Address
- 515 Ne Glen Oak Ave Ste 202
Peoria, IL 61603 - Phone
- (309) 624-4455
- Fax
- (309) 624-3457
- Organisation at this address
- Daniel M Couri Ltd
University Of IllinoisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 721 American Ave, Waukesha, WI
- 3533 Southern Blvd Ste 5650, Kettering, OH
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Physician Assistant - Licence states on file
- WI, OH, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois