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

Mrs. Alicia Mireya Mangano, FNP-BC

Individual provider Registered Nurse First Assistant · NPI 1538688312

Mrs. Alicia Mireya Mangano, FNP-BC is a Nurse Practitioner in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2222 W Division St
Chicago, IL 60622-2717
Phone: (773) 541-8100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.016499 (IL)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence 209.016499 (IL)

Record details

NPI number1538688312
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 13, 2017
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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