IndividualActive
George Mandelaris, DDS
NPI 1356568513 · Periodontics · Oakbrook Terrace, IL
Provider details
- NPI number
- 1356568513
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019024971 (IL)
Specialties & taxonomies
Dental Providers
Practice location
1s224 Summit Ave
Oakbrook Terrace, IL 60181-3983
Phone: (630) 627-3930
Fax: (630) 627-2148
Approximate (ZIP-level) locationGet directions
Mailing address
1s224 Summit Ave
Oakbrook Terrace, IL 60181-3983
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2011-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.