Eugene Mandrea in Palos Heights - Dermatology
Eugene Mandrea - NPI 1891786067
Eugene Mandrea is a Dermatology in Palos Heights, Illinois. Eugene Mandrea practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Eugene Mandrea is 1891786067. The last update date is 2013-02-18.
Eugene Mandrea's current location address is 7300 W College Dr, Palos Heights, Illinois. You can contact this provider via phone number 7086711374 and fax number 7086711378. The mailing address for Eugene Mandrea is 7300 W College Dr, Palos Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Mandrea |
|---|---|
| Address | 7300 W College Dr, Palos Heights, Illinois |
| Phone Number | 7086711374 |
| Fax Number | 7086711378 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1891786067 |
|---|---|
| Provider Enumeration Date | 2005-11-04 |
| Last Updated Date | 2013-02-18 |
Provider Mailing Address Detail
| Address | 7300 W College Dr |
|---|---|
| City | Palos Heights |
| State | Illinois (IL) |
| Post Code | 604631152 |
| Phone Number | 7086711374 |
| Fax Number | 7086711378 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 036-038229 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36038229 | IL | -- |
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What is the unique 10-digit identification code issued to Eugene Mandrea by the Centers for Medicare & Medicaid Services?
The Eugene Mandrea has been assigned the NPI (National Provider Identifier) 1891786067 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Eugene Mandrea's physical address?
The Eugene Mandrea is physically located at 7300 W College Dr, in the city of Palos Heights, IL, with the postal code 604631152.
What is the Eugene Mandrea's specialty and taxonomy code?
The Eugene Mandrea's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
When was the Eugene Mandrea's 1891786067 issued?
The Eugene Mandrea's 1891786067 was issued on 2005-11-04.
As of what date were the details related to Eugene Mandrea most recently updated or revised?
The information pertaining to Eugene Mandrea, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-18.
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