JESUS MANCILLA

CHICAGO, IL
NPI1205965050
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IL  238.000068)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
Mr. JESUS MANCILLA RSA
3538 W FULLERTON AVE
CHICAGO, IL 60647-2443
Phone number: 773-772-1212
Mailing Address
Mr. JESUS MANCILLA RSA
8021 42ND CT
LYONS, IL 60534-1165
Phone number: 708-442-1172
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