ACUTE MANTIS CARE NPI 1467053306

NPI Information

ACUTE MANTIS CARE is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ACUTE MANTIS CARE NPI is 1467053306. The provider is registered as an organization entity type.

The provider's business location address is:

6050 N CALIFORNIA AVE
CHICAGO, IL
ZIP 60659-916
Phone: (312) 809-0777
Fax: (847) 675-6092

The provider's authorized official is Elena Tiran .
The authorized official title is President and has the following contact phone number (773) 541-1826.

The enumeration date for this NPI number is 11/6/2020 and was last updated on 11/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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