Individual provider · Type 1 NPI

Aliyah Mangrum

Physician Assistant · Oak Lawn, IL

NPI number 1407431893 Active

Practice location

4440 W 95th St
Oak Lawn, IL 60453-2600

Fax (708) 684-2675

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

  • 3328 Old Washington Rd, Waldorf, MD 20602-3204 · (301) 932-4954

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC0007891 (MD)
Physician Assistant Primary 363A00000X085-008132 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407431893

Aliyah Mangrum's National Provider Identifier is 1407431893, issued on Mar 16, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Feb 20, 2026.