Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mantilla Surgical SC

Organization Colon & Rectal Surgery Physician · NPI 1477189959

Mantilla Surgical SC is a Colon & Rectal Surgery Physician in River Forest, Illinois. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

42 Gale Ave
River Forest, IL 60305-2010
Phone: (312) 927-5299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X

Record details

NPI number1477189959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathalie Mantilla — President · (312) 927-5299
NPI enumeratedMarch 17, 2020
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020
Mailing address21200 S Lagrange Rd Ste 322, Frankfort, IL 60423-2003