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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386663631 | NPPES |
| Illinois | Other | 036111710 | MEDICAL LICENSE |
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