Mandrea, Eugene

Mandrea, Eugene is an individual health care provider with primary practice located at 7300 W College Dr Suite 1Nw, Palos Heights IL 60463-1152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Mandrea, Eugene can be contacted via phone (708) 671-1374.

Contact Information

Primary practice address
7300 W College Dr Suite 1Nw Palos Heights IL 60463-1152
Phone: (708) 671-1374
Fax: (708) 671-1378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-038229 Illinois

Profile Details

NPI number 1891786067
LBN Legal business name Mandrea, Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Feb 18th, 2013 - about 11 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 1891786067 NPPES
Illinois MEDICAID 036038229

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