Jorge Mantilla, SA-C is a surgical physician assistant in Chicago, IL. Jorge Mantilla, SA-C NPI is 1962065516. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5540 N KIMBALL AVE APT 3E
CHICAGO, IL
ZIP 60625-674
Phone: (312) 983-0540
The enumeration date for this NPI number is 4/18/2019 and was last updated on 2/11/2020.