Luis M Mangubat MD SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LUIS M MANGUBAT MD SC

Practice address

800 Biesterfield Rd
Suite 407
Elk Grove Village, IL 60007-3361

Phone

(815) 588-3866

Fax

(815) 588-3006

NPI assigned

Jul 31, 2007

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis M Mangubat, MDNPI 1790839520

Title

President

Phone

(815) 588-3866

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis M Mangubat, M.D., S.C.

  • Surgery Physician
  • Elk Grove Village, IL
  • NPI 1790839520
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1356531727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 407",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "815-588-3866",
            "fax_number": "815-588-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "SUITE 407",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "815-588-3866",
            "fax_number": "815-588-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS M MANGUBAT MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MANGUBAT",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-588-3866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lorenz, ATC
• Jenise Lowe
• Vanessa Lowrey
• Paul R Lucas, DPM, FACFAS
• Robert C Ludemann, DDS
• Jasmine Luk, SPEECH THERAPIST
• Amber Lullo, CNM
• Ann Lustig
• Ronald F Luzzo, DDS
• Kelly Lydon, APN-CNP

• Surgery Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.