| Dr Steven N Mandrea, MD | |
|
1420 Renaissance Dr, Suite 208, Park Ridge, IL 60068-1330 | |
| (847) 298-1831 | |
| (847) 298-1832 |
| Full Name | Dr Steven N Mandrea |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 25 Years |
| Location | 1420 Renaissance Dr, Park Ridge, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386663631 | NPI | - | NPPES |
| 036111710 | Other | IL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036111710 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Dermatology Institute, Llc | 7911043054 | 51 |
| Entity Name | Illinois Dermatology Institute Llc |
|---|---|
| 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 Steven N Mandrea, MD 7300 W College Dr, Ste 1nw, Palos Heights, IL 60463-1152 Ph: (708) 671-1374 | Dr Steven N Mandrea, MD 1420 Renaissance Dr, Suite 208, Park Ridge, IL 60068-1330 Ph: (847) 298-1831 |
Rebecca Candler Clawson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1550 N Northwest Hwy Ste 300, Park Ridge, IL 60068 Phone: 847-298-1831 | |
Victoria Catherine Kuritza, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 110 N Home Ave, Park Ridge, IL 60068 Phone: 847-830-2222 | |
Cole David Lundquist, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1875 W Dempster St, Ste 660, Park Ridge, IL 60068 Phone: 847-698-1210 Fax: 847-698-0475 |