IndividualActive
Sirisha Mandadi, DDS
NPI 1215209366 · Prosthodontics · Crest Hill, IL
Provider details
- NPI number
- 1215209366
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1001977 (WI)
Practice location
2241 Theodore St
Crest Hill, IL 60403-1881
Phone: (815) 741-1700
Fax: (815) 741-8511
Mailing address
4627 Cedar Dr
Naperville, IL 60564-1155
Registry dates
- Enumerated
- 2012-02-06
- Last updated
- 2019-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.