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1477189959
MANTILLA SURGICAL SC
RIVER FOREST, IL
NPI
1477189959
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Entity Type
Organization
Authorized Contact
NATHALIE MANTILLA
President
312-927-5299
Organization Subpart ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
MANTILLA SURGICAL SC
42 GALE AVE
RIVER FOREST, IL 60305-2010
Phone number: 312-927-5299
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Mailing Address
MANTILLA SURGICAL SC
21200 S LAGRANGE RD STE 322
FRANKFORT, IL 60423-2003
Phone number: 844-346-8686
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