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Individual

DR. STEVEN N MANDREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1420 RENAISSANCE DR, SUITE 208, PARK RIDGE, IL 60068-1330
(847) 298-1831
(847) 298-1832
Mailing address
7300 W COLLEGE DR, STE 1NW, PALOS HEIGHTS, IL 60463-1152
(708) 671-1374
(708) 671-1378

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036111710
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036111710
MEDICAL LICENSE
IL
Enumeration date
07/18/2006
Last updated
02/14/2013
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