Search › Illinois › 207P00000X
Michael Mengarelli, DO
NPI 1568022507 · on the registry since 2019
Practice
- Address
- 405 W Jackson St
Carbondale, IL 62901 - Phone
- (618) 549-0721
- Organisation at this address
- Brigham Anesthesia South Llc
River2 Emergency Physicians Llp
Memorial Hospital Of Carbondale
Southern Illinois Hospital Services
Midwest Regional Neonatology Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 163
Additional practice sites
- 201 S 14th St, Herrin, IL
- 1000 Health Center Dr, Mattoon, IL
- 2 S Hospital Dr, Murphysboro, IL
- 420 S 5th Ave, West Reading, PA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- PA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois