Mander, Dr Gurpreet S

Mander, Dr Gurpreet S is an individual health care provider with primary practice located at 415 N 9Th St , Springfield IL 62702-5317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Mander, Dr Gurpreet S can be contacted via phone (217) 544-6464.

Contact Information

Primary practice address
415 N 9Th St Springfield IL 62702-5317
Phone: (217) 544-6464
Fax: (217) 757-6844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X Illinois

Profile Details

NPI number 1932182656
LBN Legal business name Mander, Dr Gurpreet S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 8th, 2007 - about 17 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 1932182656 NPPES
Illinois MEDICAID 087739

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