Mandal, Robert W
Mandal, Robert W is an individual health care provider with primary practice located at 1710 N Randall Rd 300, Elgin IL 60123-9400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Mandal, Robert W can be contacted via phone (847) 931-0909.Contact Information
Primary practice address
1710 N Randall Rd 300
Elgin IL 60123-9400
Phone: (847) 931-0909
Fax: (847) 488-9596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036095612 | Illinois |
Profile Details
| NPI number | 1124012901 |
|---|---|
| LBN Legal business name | Mandal, Robert W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Oct 9th, 2014 - about 10 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 | 1124012901 | NPPES |
| Illinois | MEDICAID | 036095612 |
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