Individual
DR. JANELL CHANDLER MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
5207 MAIN ST, DOWNERS GROVE, IL 60515-4652
(630) 969-7706
(630) 971-6373
Mailing address
5207 MAIN ST, DOWNERS GROVE, IL 60515-4652
(630) 969-7706
(630) 971-6373
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036128252
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400480
GROUP MEDICARE PTAN
IL
Enumeration date
10/29/2007
Last updated
04/05/2022
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