Individual
DR. DANIEL C MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-3140
(217) 383-4966
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
55534
WI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036.136016
IL
Other
Enumeration date
05/31/2007
Last updated
09/24/2014
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