Mrs. Debra D Mangrum, NP
Mrs. Debra D Mangrum, NP is a Nurse Practitioner in Olympia Fields, Illinois. Qualified in 2016, 10 years ago. Practices with Specialty Physicians of Illinois LLC, a 112-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.
- Years since qualifying
- 10
- Licensed in
- IL, IN
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
3800 W 203rd St Ste 204Olympia Fields, IL 60461-1185
Phone: (708) 852-2641
Fax: (708) 503-3260
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 2525 S Michigan Ave Fl 12, Chicago, IL 60616-2315 — (312) 567-2380
- 2525 S Michigan Ave Fl 12, Chicago, IL 60616-2315 — (312) 567-2380
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 209015375 (IL) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 71007051A (IN) |
Record details
| NPI number | 1669917654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | Yes |
| NPI enumerated | December 29, 2016 |
| Last updated in NPPES | December 15, 2021 |
| Certification date | December 15, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Specialty Physicians Of Illinois Llc — 112 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |