Sharon Mangum, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036069173 Issued in IL

Practice address

7400 183Rd St
Tinley Park Mental Health Center
Tinley Park, IL 60477-3688

Phone

(708) 614-4000

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1457346744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 183RD ST",
            "address_2": "TINLEY PARK MENTAL HEALTH CENTER",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773688",
            "telephone_number": "708-614-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 183RD ST",
            "address_2": "TINLEY PARK MENTAL HEALTH CENTER",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773688",
            "telephone_number": "708-614-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "SHARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036069173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dharvin Maisuria, PHARM.D.
• Malhotra LLC
• Bruce C Malm, MD
• Latosha C Malone, LE
• Sara Mandernach, M.S.
• Paige Manso, RDN/LDN
• Laura H Mapes, APN
• Heather Nicole Marcordes, COTA/L
• Melisa Marcotte, APRN
• Curtis Marcus, MPT

• Specialist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.