Organization Active NPI

Mandalay Clinic LLC

  • Family Nurse Practitioner
  • Rolling Meadows, IL
National Provider Identifier
1821962879
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MANDALAY CLINIC LLC
Practice address
1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229
Phone
(773) 395-0937
NPI assigned
Oct 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mya Yee Nandar
Title
Owner
Phone
(808) 989-9192

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229

Mailing address

1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229
Phone (773) 395-0937

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1821962879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GOLF RD STE 1200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084229",
            "telephone_number": "773-395-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GOLF RD STE 1200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084229",
            "telephone_number": "773-395-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALAY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-02",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "NANDAR",
        "authorized_official_first_name": "MYA",
        "authorized_official_middle_name": "YEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-989-9192"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.