Provider Demographics
NPI:1770660490
Name:ARREOLA, SUSAN CAROLINE MANGROBANG (MD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN CAROLINE
Middle Name:MANGROBANG
Last Name:ARREOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15900 S CICERO AVE
Mailing Address - Street 2:OAK FOREST HOSPITAL OF COOK COUNTY
Mailing Address - City:OAK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60452
Mailing Address - Country:US
Mailing Address - Phone:708-687-7200
Mailing Address - Fax:708-633-4136
Practice Address - Street 1:15900 S. CICERO AVE.
Practice Address - Street 2:
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452
Practice Address - Country:US
Practice Address - Phone:708-687-7200
Practice Address - Fax:708-633-4136
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine