Individual
DR. RONNIE RANJAN MANDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O,MBA,MS,MT(ASCP)
Contact information
Practice address
5115 N FRANCISCO AVE, FL 1, CHICAGO, IL 60625-3611
(773) 271-6622
(773) 271-6801
Mailing address
5115 N FRANCISCO AVE, FL 1, CHICAGO, IL 60625-3611
(773) 271-6622
(773) 271-6801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036119779
IL
208M00000X
Hospitalist Physician
Primary
036119779
IL
Other
Enumeration date
01/12/2008
Last updated
04/07/2021
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