Mace, Janell Chandler
Mace, Janell Chandler is an individual health care provider with primary practice located at 5207 Main St , Downers Grove IL 60515-4652. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mace, Janell Chandler can be contacted via phone (630) 969-7706.Contact Information
Primary practice address
5207 Main St
Downers Grove IL 60515-4652
Phone: (630) 969-7706
Fax: (630) 971-6373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036128252 | Illinois |
Profile Details
| NPI number | 1659550408 |
|---|---|
| LBN Legal business name | Mace, Janell Chandler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Apr 5th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659550408 | NPPES |
| Illinois | Other | 400480 | GROUP MEDICARE PTAN |
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