Herchel Mangune, PTA is a
Physical Therapy Assistant physician based in Great Lakes, Illinois. Herchel Mangune is licensed to practice in * (Not Available) (license number ) and his current practice location is 3410 Illinois St, Great Lakes, Illinois. He can be reached at his office (for appointments etc.) via phone at
(224) 610-8553.
NPI number for Herchel Mangune is 1467272294 and his current mailing address is 5019 N Spaulding Ave, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467272294.
Physician's Profile
Full Name | Herchel Mangune |
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Gender | Male |
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Speciality | Physical Therapy Assistant |
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Location | 3410 Illinois St, Great Lakes, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467272294
- Provider Enumeration Date: 10/16/2024
- Last Update Date: 03/19/2025
Medical Identifiers
Medical identifiers for Herchel Mangune such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467272294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 160008649 (Illinois) | Secondary |
225200000X | Physical Therapy Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Herchel Mangune is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Herchel Mangune, PTA 5019 N Spaulding Ave, Chicago, IL 60625-4911 Ph: () - | Herchel Mangune, PTA 3410 Illinois St, Great Lakes, IL 60088-3120 Ph: (224) 610-8553 |
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