Search › Illinois › 207R00000X
Michael Mandis, MD
NPI 1821065764 · on the registry since 2006
Practice
- Address
- 2236 Vadalabene Dr
Suite 2
Maryville, IL 62062 - Phone
- (618) 288-6136
- Fax
- (618) 288-6143
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207P00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois