Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA YUN MANTANONA, MD
ActiveFamily Medicine · GRAYSLAKE, IL
Registration Details
- NPI Number
- 1922362623
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2012 (13.857170334477 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
A129087 (CA)036144032 (IL)
Practice Information
- Address
-
1475 E BELVIDERE RD UNIT 385GRAYSLAKE, IL, 600302026Browse IL providers · Browse ZIP 60030
- Phone
- 8475377157
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in GRAYSLAKE, IL
| Name | Credential | NPI |
|---|---|---|
| KENT KAMRADT | M.D. | 1598768939 |
| JAI JUNG NHO | M.D. | 1780670018 |
| DR. PETER T. SENATORE | D.O. | 1700865656 |
| RICHARD R. CLARK | M.D. | 1023042470 |
| MR. JAMES H KIM | MD | 1891890695 |
| DR. DEBORAH S CLEMENTS | M.D. | 1255427779 |
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.