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Jesus Mancilla, RSA
NPI 1205965050 · Specialist · Chicago, IL
Jesus Mancilla, RSA is a Specialist provider in Chicago, IL (NPI 1205965050).
Provider details
- NPI number
- 1205965050
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3538 W Fullerton Ave
Chicago, IL 60647-2443
Phone: (773) 772-1212
Street-level locationGet directions
Mailing address
8021 42nd Ct
Lyons, IL 60534-1165
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jesus Mancilla's NPI number?
- Jesus Mancilla's National Provider Identifier (NPI) is 1205965050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesus Mancilla's specialty?
- Jesus Mancilla is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jesus Mancilla located?
- Jesus Mancilla's practice location on file with NPPES is 3538 W Fullerton Ave, Chicago, IL 60647-2443.
- What is Jesus Mancilla's phone number?
- The practice phone number listed in the NPPES registry for Jesus Mancilla is (773) 772-1212.
- Is Jesus Mancilla's NPI active?
- Yes — Jesus Mancilla's NPI (1205965050) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.