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 | 
|---|
| Gender | Male | 
|---|
| Speciality | Physical Therapy Assistant | 
|---|
| Location | 3410 Illinois St, Great Lakes, Illinois | 
|---|
| 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 | 
		
		 
Reviews and Comments