Individual provider · Type 1 NPI
Debra D. Mangrum, NP
Adult Health Nurse Practitioner · Olympia Fields, IL
NPI number
1669917654
Active
Practice location
3800 W 203rd St Ste 204
Olympia Fields, IL 60461-1185
Fax (708) 503-3260
Mailing address
35318 Eagle Way
Chicago, IL 60678-1353
Other practice locations
- 2525 S Michigan Ave Fl 12, Chicago, IL 60616-2315 · (312) 567-2380
- 2525 S Michigan Ave Fl 12, Chicago, IL 60616-2315 · (312) 567-2380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71007051A (IN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209015375 (IL) |
Adult Health Nurse Practitioner: Definition to come...
5 other providers at this address
- Brieann Alexandra Muller, MDPediatric Cardiology Physician Olympia Fields, IL NPI 1053553313
- Brittany Marie Dixon, MDCardiovascular Disease Physician Olympia Fields, IL NPI 1063755122
- Matthew L. Kamin, DOCardiovascular Disease Physician Olympia Fields, IL NPI 1043203862
- Nicole Bindl, NPFamily Nurse Practitioner Olympia Fields, IL NPI 1083801153
- Rashad Jabali Belin, MD, PhDInterventional Cardiology Physician Olympia Fields, IL NPI 1508150418
About NPI 1669917654
Debra D. Mangrum, NP's National Provider Identifier is 1669917654, issued on Dec 29, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Olympia Fields, IL. The record was last updated on Dec 15, 2021.