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Organization
RONNIE MANDAL DO, SC
Active
Organization
RONNIE MANDAL DO, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE RANJAN MANDAL DO (PRESIDENT)
(847) 757-5880
Entity
Organization
Contact information
Practice address
2740 W FOSTER AVE STE 101, CHICAGO, IL 60625-3547
(773) 545-9500
Mailing address
6634 N TRUMBULL AVE, LINCOLNWOOD, IL 60712-3738
(847) 757-5880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
282N00000X
General Acute Care Hospital
036119779
IL
Other
Enumeration date
09/20/2016
Last updated
08/17/2021
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