Eugene Mandrea, M.D., S.C.

LBN: Eugene Mandrea, M.D., S.C.
Eugene Mandrea, M.D., S.C. is an health care organization with primary practice located at 7300 W College Dr Suite1Nw, Palos Heights IL 60463-1152. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Eugene Mandrea, M.D., S.C. can be contacted via phone (708) 671-1374, or through Mandrea, Eugene via phone (708) 671-1374.

Contact Information

Primary practice address
7300 W College Dr Suite1Nw Palos Heights IL 60463-1152
Fax: (708) 671-1378
Website:
Authorized official contact:
Name: Mandrea, Eugene Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1184615387
LBN Legal business name Eugene Mandrea, M.D., S.C.
DBA Doing business as
Authorized official Mandrea, Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184615387 NPPES
Illinois Other 01604498 BLUE CROSS / BLUE SHIELD

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