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Jorge Mantilla, SA-C
Surgical Physician Assistant in Chicago, Illinois
NPI 1962065516

Jorge Mantilla is a Surgical Physician Assistant based in Chicago, IL and is specialized in Surgical. Jorge Mantilla practices in Chicago, IL and has the professional credentials of SA-C. The NPI Number for Jorge Mantilla is 1962065516 and holds a License No. 19-180 (Illinois).

The current practice location address for Jorge Mantilla is 5540 N Kimball Ave Apt 3E, Chicago, IL and can be reached out via phone at 312-983-0540.

Location: 5540 N Kimball Ave Apt 3E, Chicago, IL, 60625-4674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962065516
Provider Name
Jorge Mantilla
Credential
SA-C
Provider Entity Type
Individual
Gender
Male
Address
5540 N Kimball Ave Apt 3E, Chicago, IL, 60625-4674
Phone Number
312-983-0540
Fax Number
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5540 N Kimball Ave Apt 3E
City
Chicago
State
Illinois
Zip
60625-4674
Phone Number
312-983-0540
Fax Number
person
Provider Business Mailing Address Details
Address
5540 N Kimball Ave Apt 3E
City
Chicago
State
Illinois
Zip
60625-4674
Phone Number
312-983-0540
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Surgical Assistant
Taxonomy
246ZC0007X
License No.
238.000655 (Illinois)
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
19-180 (Texas)
Definition
Definition to come...
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