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

Aliyah Mangrum

Individual provider Physician Assistant · NPI 1407431893

Aliyah Mangrum is a Physician Assistant in Oak Lawn, Illinois. Graduated from University of Pittsburgh School of Medicine in 2020, 6 years ago. Practices with Integrated Imaging Consultants LLC, a 165-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Maryland.

Years since qualifying
6
Trained at
University of Pittsburgh School of Medicine
Licensed in
IL, MD
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-6949
Fax: (708) 684-2675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3328 Old Washington Rd, Waldorf, MD 20602-3204 — (301) 932-4954

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-008132 (IL)
Physician Assistant Taxonomy 363A00000X · Licence C0007891 (MD)

Record details

NPI number1407431893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2021
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Integrated Imaging Consultants Llc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Oak Lawn