Search › Illinois › 363A00000X
Aliyah Mangrum
NPI 1407431893 · on the registry since 2021
Practice
- Address
- 4440 W 95th St
Oak Lawn, IL 60453 - Phone
- (708) 684-6949
- Fax
- (708) 684-2675
- Organisation at this address
- Uic
Stacie Ward
Walgreen Co
Surgical Partners
Advocate Christ HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,126
Additional practice sites
- 3328 Old Washington Rd, Waldorf, MD
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- MD, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-20
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