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Search › Illinois › 174400000X

Jesus Mancilla, RSA

NPI 1205965050 · on the registry since 2007 · sole proprietor

Practice

Address
3538 W Fullerton Ave
Chicago, IL 60647
Phone
(773) 772-1212
Organisation at this address
Garcia Radiology Pc
Ramon A Garcia Md Pc
Solaris Diagnostics Pc
Logan Square Anesthesia Pc
Cardinal Surgery Systems Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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