OrganizationActive
Mantilla Surgical Sc
NPI 1477189959 · Colon & Rectal Surgery Physician · River Forest, IL
Provider details
- NPI number
- 1477189959
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nathalie Mantilla, President(312) 927-5299
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% 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
42 Gale Ave
River Forest, IL 60305-2010
Phone: (312) 927-5299
Street-level locationGet directions
Mailing address
21200 S Lagrange Rd Ste 322
Frankfort, IL 60423-2003
Registry dates
- Enumerated
- 2020-03-17
- Last updated
- 2020-03-17
- Certified
- 2020-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.