Robert W Mandal
Medical Oncology
1710 N Randall Rd 300
Elgin
, Illinois 60123-9400
Robert W Mandal
Medical Oncology
1710 N Randall Rd 300
Elgin
, Illinois 60123-9400
(847) 240-0622
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Robert W Mandal
- 25070 Network Pl
- Chicago, IL
- Zip : 60673-1250
- Fax : (847) 240-0622
- Phone : (847) 585-7000
Second Address
- Robert W Mandal
- 1710 N Randall Rd 300
- Elgin, IL
- Zip : 60123-9400
- Fax : (847) 488-9596
- Phone : (847) 931-0909
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 036095612 | IL |
National Provider Identifier
| NPI | 1124012901 |
|---|---|
| Provider Name | Robert W Mandal |
| First Address | Chicago, IL 60673-1250 |
| Second Address | Elgin, IL 60123-9400 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2005 |
| Last Update Date | 09/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036095612 | (05) | IL |
| F96473 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.