Individual provider · Type 1 NPI

Dina K. Mantis, PA

Surgical Physician Assistant · Skokie, IL

NPI number 1720289853 Active

Practice location

9600 Gross Point Rd
Skokie, IL 60076-1214

Call (847) 933-6550 Map

Fax (847) 933-6260

Mailing address

2650 Ridge Ave # 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085-001280 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1720289853

Dina K. Mantis, PA's National Provider Identifier is 1720289853, issued on May 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Skokie, IL. The record was last updated on Oct 14, 2025.