Herchel Mangune, PTA
Herchel Mangune, PTA is a Physical Medicine & Rehabilitation Physician in Great Lakes, Illinois. Licensed in Illinois. Registered with an NPI since 2024.
- Licensed in
- IL
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
3410 Illinois StGreat Lakes, IL 60088-3120
Phone: (224) 610-8553
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 160008649 (IL) |
Record details
| NPI number | 1467272294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | October 16, 2024 |
| Last updated in NPPES | March 19, 2025 |
| Certification date | March 19, 2025 |