1. Home
  2. Directory
  3. Illinois
  4. River Forest
  5. Colon Rectal Surgery
  6. NPI Profile

MANTILLA SURGICAL SC
NPI 1477189959
Colon & Rectal Surgery in River Forest, IL

Active since March 17, 2020
42 GALE AVE, RIVER FOREST, IL 60305(312) 927-5299 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mantilla Surgical Sc NPPES

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

MANTILLA SURGICAL SC (NPI 1477189959) is a healthcare organization registered as a colon & rectal surgery in River Forest, Illinois and active in the NPI registry since March 2020. The organization lists Nathalie Mantilla, President, as its authorized official.

NPPES Registry Identity

NPI1477189959
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameMANTILLA SURGICAL SC
Location Address42 GALE AVERiver Forest, IL 60305-2010
Mailing Address21200 S Lagrange Rd Ste 322Frankfort, IL 60423-2003 · (844) 346-8686 · Fax (844) 427-2845
Phone(312) 927-5299
Organization SubpartNo
Authorized OfficialNathalie MantillaPresident · (312) 927-5299
Enumeration DateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
✔ NPI 1477189959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
42 GALE AVE, River Forest, IL 60305
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mantilla Surgical Sc's NPI number?

The NPI number for Mantilla Surgical Sc is 1477189959. It was assigned to this organization in the NPPES registry on March 17, 2020.

Where is Mantilla Surgical Sc located?

Mantilla Surgical Sc is located at 42 Gale Ave, River Forest, IL 60305. The listed phone number is (312) 927-5299.

What is Mantilla Surgical Sc's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

When was this NPI record last updated?

The NPPES record for Mantilla Surgical Sc was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.