Individual
SANDRA M NDIAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-1100
(815) 300-7049
Mailing address
1900 SILVER CROSS BLVD, PEDIATRICS OFFICE #3116, NEW LENOX, IL 60451-9509
(815) 300-1100
(815) 300-7049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036134339
IL
208M00000X
Hospitalist Physician
02007537A
IN
Other
Enumeration date
03/21/2011
Last updated
05/07/2024
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