Tina Mandelman
Nurse Practitioner - Pediatrics
1170 E Belvidere Rd Suite 106
Grayslake
, Illinois 60030-2061
Tina Mandelman
Nurse Practitioner - Pediatrics
1170 E Belvidere Rd Suite 106
Grayslake
, Illinois 60030-2061
(847) 548-7337
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Tina Mandelman
- 1170 E Belvidere Rd Suite 106
- Grayslake, IL
- Zip : 60030-2061
- Phone : (847) 548-7337
Second Address
- Tina Mandelman
- 1170 E Belvidere Rd Suite 106
- Grayslake, IL
- Zip : 60030-2061
- Phone : (847) 548-7337
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209.011209 | IL |
National Provider Identifier
| NPI | 1043639255 |
|---|---|
| Provider Name | Tina Mandelman |
| First Address | Grayslake, IL 60030-2061 |
| Second Address | Grayslake, IL 60030-2061 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2014 |
| Last Update Date | 15/04/2014 |
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.