Organization
EUGENE MANDREA, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE MANDREA M.D. (PHYSICIAN)
(708) 671-1374
Entity
Organization
Contact information
Practice address
7300 W COLLEGE DR, SUITE1NW, PALOS HEIGHTS, IL 60463-1152
(708) 671-1374
(708) 671-1378
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01604498
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
11/04/2005
Last updated
08/22/2020
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