Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALIYAH MANGRUM
ActiveALIYAH MANGRUM is a Physician Assistant healthcare provider located in OAK LAWN, Illinois. NPI 1407431893 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OAK LAWN, IL
Registration Details
- NPI Number
- 1407431893
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2021 (5.4289073288536 yrs)
- Last Updated
- Feb 20, 2026
- Licenses
-
C0007891 (MD)085-008132 (IL)
Practice Information
- Address
-
4440 W 95TH STOAK LAWN, IL, 604532600Browse IL providers · Browse ZIP 60453
- Phone
- 7086846949
- Fax
- 7086842675
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in OAK LAWN, IL
| Name | Credential | NPI |
|---|---|---|
| JOHN LOUIS ANCONA | PA | 1003891649 |
| REBECCA C. HOPKINS LEVY | PA | 1265539241 |
| MRS. KAREN L. PETRACEK | PA-C | 1720161110 |
| BRIDGET E MCGINNIS | PA-C | 1215055413 |
| ERICA HULL | PA-C | 1477888527 |
| MRS. COLLEEN JOYCE VOLZ | PA-C | 1942537915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.