Search › Illinois › 225200000X
Herchel Mangune, PTA
NPI 1467272294 · on the registry since 2024
Practice
- Address
- 3410 Illinois St
Great Lakes, IL 60088 - Phone
- (224) 610-8553
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 208100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-19
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