EUGENE MANDREA, M.D., S.C. (NPI# 1184615387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184615387 |
| Entity Type | Organization |
| Organization Name | EUGENE MANDREA, M.D., S.C. |
| Practice Address |
7300 W College Dr Suite1nw Palos Heights IL 60463-1152 |
| Mailing Address |
1730 Park St Suite 101 Naperville IL 60563-2688 |
| Practice Telephone | 7086711374 |
| Practice Fax Number | 7086711378 |
| Mailing Telephone | 6307180200 |
| Mailing Fax Number | 6307180900 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EUGENE MANDREA (PHYSICIAN) |
| Authorized Official Telephone | 7086711374 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS / BLUE SHIELD | 01604498 | 01 |
| Street Address |
7300 W COLLEGE DR SUITE1NW |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786067 | Eugene Mandrea | Dermatology | 7300 W College Dr, Suite 1nw, Palos Heights, IL 60463-1152 | 2005-11-04 |
| 1669834701 | Jamie Gilmartin | Counselor | 7300 W College Dr, # 203, Palos Heights, IL 60463-1152 | 2016-03-28 |
| 1508269549 | Sarah Sheets | Counselor | 7300 W College Dr, Palos Heights, IL 60463-1152 | 2014-10-05 |
| 1336482066 | Carolyn A Necas | Counselor | 7300 W College Dr, #203, Palos Heights, IL 60463-1152 | 2013-04-01 |
| 1215286943 | Kyle Thomas Cosentino | Counselor | 7300 W College Dr, #203, Palos Heights, IL 60463-1152 | 2012-09-10 |
| 1811271323 | Sarah Elizabeth Hoch | Physician Assistant | 7300 W College Dr, Ste. 1nw, Palos Heights, IL 60463-1152 | 2011-10-03 |
| 1710217930 | Sheri Lynn Paul | Nurse Practitioner | 7300 W College Dr, Suite 205, Palos Heights, IL 60463-1152 | 2010-01-11 |
| 1952550451 | Psychological Associates | Psychologist | 7300 W College Dr, Suite 205, Palos Heights, IL 60463-1152 | 2008-09-09 |
| 1922287564 | Melissa Lynn Lambert | Physician Assistant | 7300 W College Dr, Suite 1nw, Palos Heights, IL 60463-1152 | 2007-10-31 |
| 1922130301 | Kathryn A Janiga | Counselor | 7300 W College Dr, Suite 203, Palos Heights, IL 60463-1152 | 2007-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972618619 | Gisela J Yingst | Dermatology | 6410 W 127th St 2nd Floor, Palos Heights, IL 60463 | 2006-08-21 |
| 1891786067 | Eugene Mandrea | Dermatology | 7300 W College Dr, Suite 1nw, Palos Heights, IL 60463-1152 | 2005-11-04 |
| 1770509648 | Keith Alan Lopatka | Dermatology | 7300 W College Dr, Ste 1nw, Palos Heights, IL 60463-1152 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1063030252 | Vitalskin Medical Group Il Pllc | Dermatology | 1111 W Kenyon Rd, Urbana, IL 61801-1010 | 2020-07-14 |
| 1447873831 | Derick Dermatology, LLC | Dermatology | 5250 Old Orchard Rd Ste 110, Skokie, IL 60077-4461 | 2020-05-20 |
| 1346869393 | Julia Katsnelson Md Sc | Dermatology | 231 Olde Half Day Rd, Lincolnshire, IL 60069-2906 | 2020-04-10 |
| 1114551983 | Katherine Janezic | Dermatology | 7447 W Talcott Ave Ste 425, Chicago, IL 60631-3704 | 2020-03-02 |
| 1013559400 | Orsini Surgical Dermatology Sc | Dermatology | 1519 Legacy Cir, Naperville, IL 60563-3161 | 2019-10-17 |
| 1124675244 | Kiracofe Md Medical, LLC | Dermatology | 719 South Blvd # 2903, Oak Park, IL 60302-2903 | 2019-08-22 |
| 1366009664 | Derick Dermatology | Dermatology | 1900 Spring Rd Ste 210, Oak Brook, IL 60523-9063 | 2019-05-22 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1891257853 | Maria Estela Martinez Escala | Dermatology | 5841 S Maryland Ave Ste Mc5067, Chicago, IL 60637-1443 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.