Mandrea, Steven N

Mandrea, Steven N is an individual health care provider with primary practice located at 1420 Renaissance Dr Suite 208, Park Ridge IL 60068-1330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mandrea, Steven N can be contacted via phone (847) 298-1831.

Contact Information

Primary practice address
1420 Renaissance Dr Suite 208 Park Ridge IL 60068-1330
Phone: (847) 298-1831
Fax: (847) 298-1832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036111710 Illinois

Profile Details

NPI number 1386663631
LBN Legal business name Mandrea, Steven N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Feb 14th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386663631 NPPES
Illinois Other 036111710 MEDICAL LICENSE

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