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LIZAR ACE MANGIO
NPI 1598450306
Student in an Organized Health Care Education/Training Program in Rockford, IL

Active since April 07, 2023
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114(815) 971-6364 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lizar Ace Mangio NPPES

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

LIZAR ACE MANGIO (NPI 1598450306) is an individual student in an organized health care education/training program in Rockford, Illinois and active in the NPI registry since April 2023. He maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1598450306
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLIZAR ACE MANGIO
Location Address8201 E RIVERSIDE BLVDRockford, IL 61114-2300
Mailing Address6964 W Oakdale AveChicago, IL 60634-4839 · (773) 727-6131
Phone(815) 971-6364
Sole ProprietorYes
Enumeration DateApril 7, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1598450306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8201 E RIVERSIDE BLVD, Rockford, IL 61114
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Secondary Practice Location 1

Location 15970 Churchview DrRockford, IL 61107-2574 · Phone (815) 971-6364

Other Providers at the Same Location NPPES 20

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

RHONDA J GALE APN-NNP-BC
Nurse Practitioner (Neonatal)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-6500
MRS. MEGHAN CREATH MS, CCC-SLP
Speech-Language Pathologist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-1095
JANINE BEATRICE GOZA BORJA MD
Student in an Organized Health Care Education/Training Program
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
ANUSHA YANAMADALA M.D
Internal Medicine
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (708) 783-6566
AMIT JOHAL MD
Student in an Organized Health Care Education/Training Program
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-5000
KATRINA NICOLE WEIR M.S., CFY-SLP
Speech-Language Pathologist
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-5022
CASANDRA KAY PIHL APN, FNP-C
Nurse Practitioner (Family)
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000
ASSEM MIARI PA
Physician Assistant
8201 E RIVERSIDE BLVD
ROCKFORD, IL 61114
Winnebago County (815) 971-7000

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 Lizar Ace Mangio's NPI number?

The NPI number for Lizar Ace Mangio is 1598450306. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Lizar Ace Mangio located?

Lizar Ace Mangio practices at 8201 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 971-6364.

What is Lizar Ace Mangio's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lizar Ace Mangio was last updated on April 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.