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MR. JESUS MANCILLA SR. RSA
NPI 1205965050
Specialist in Chicago, IL

Active since March 05, 2007
3538 W FULLERTON AVE, CHICAGO, IL 60647(773) 772-1212 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jesus Mancilla Sr. Rsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JESUS MANCILLA SR. RSA (NPI 1205965050) is an individual specialist in Chicago, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1205965050
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. JESUS MANCILLA SR.Credential: RSA
Location Address3538 W FULLERTON AVEChicago, IL 60647-2443
Mailing Address8021 42nd CtLyons, IL 60534-1165 · (708) 442-1172
Phone(773) 772-1212
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205965050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3538 W FULLERTON AVE, Chicago, IL 60647
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARDINAL SURGERY SYSTEMS PC
Internal Medicine
3538 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 772-1212
YOLANDA LALYRE-RODRIGUEZ M.D.
Internal Medicine (Gastroenterology)
3538 W FULLERTON AVE, MC 716
CHICAGO, IL 60647
Cook County (773) 772-1212
RAMON A GARCIA MD PC
Internal Medicine (Gastroenterology)
3538 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 772-1212
DR. RAMON ANDRES GARCIA JR. M.D
Internal Medicine
3538 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 772-1212
SOLARIS DIAGNOSTICS PC
Pathology (Clinical Pathology)
3538 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 772-1212
LOGAN SQUARE ANESTHESIA PC
Anesthesiology
3538 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 772-1212
GARCIA RADIOLOGY PC
Radiology (Diagnostic Radiology)
3538 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 772-1212
DR. ANDREW GORCHYNSKY M.D.
Surgery
3538 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 327-3141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesus Mancilla's NPI number?

The NPI number for Jesus Mancilla is 1205965050. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Jesus Mancilla located?

Jesus Mancilla practices at 3538 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 772-1212.

What is Jesus Mancilla's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jesus Mancilla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.