Individual
ROBERT W MANDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1710 N RANDALL RD, 300, ELGIN, IL 60123-9400
(847) 931-0909
(847) 488-9596
Mailing address
25070 NETWORK PL, CHICAGO, IL 60673-1250
(847) 585-7000
(847) 240-0622
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036095612
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095612
—
IL
Enumeration date
09/07/2005
Last updated
10/09/2014
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