Gittler, Mandy L

Gittler, Mandy L is an individual health care provider with primary practice located at 5215 N California Ave 7Th Floor, Chicago IL 60625-7014. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Gittler, Mandy L can be contacted via phone (312) 666-3494.

Contact Information

Primary practice address
5215 N California Ave 7Th Floor Chicago IL 60625-7014
Phone: (312) 666-3494
Fax: (773) 293-6846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00039065 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01074721A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036107772 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-107772 Illinois

Profile Details

NPI number 1811929474
LBN Legal business name Gittler, Mandy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811929474 NPPES
Illinois MEDICAID 036107772
Illinois Other 11146653

Popular Providers