Dr Eugene Mandrea, MD | |
7300 W College Dr, Suite 1nw, Palos Heights, IL 60463-1152 | |
(708) 671-1374 | |
(708) 671-1378 |
Full Name | Dr Eugene Mandrea |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 7300 W College Dr, Palos Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891786067 | NPI | - | NPPES |
036038229 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036-038229 (Illinois) | Primary |
Entity Name | Illinois Dermatology Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891920898 PECOS PAC ID: 7911043054 Enrollment ID: O20091005000156 |
Mailing Address | Practice Location Address |
---|---|
Dr Eugene Mandrea, MD 7300 W College Dr, 1nw, Palos Heights, IL 60463-1152 Ph: (708) 671-1374 | Dr Eugene Mandrea, MD 7300 W College Dr, Suite 1nw, Palos Heights, IL 60463-1152 Ph: (708) 671-1374 |
Keith Alan Lopatka, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7300 W College Dr, Ste 1nw, Palos Heights, IL 60463 Phone: 708-671-1374 Fax: 708-671-1378 | |
Dr. Gisela J Yingst, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6410 W 127th St 2nd Floor, Palos Heights, IL 60463 Phone: 708-371-5055 Fax: 708-371-5480 |