Menchaca, Martha G

Menchaca, Martha G is an individual health care provider with primary practice located at 4130 W 26Th St , Chicago IL 60623-4312. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging. Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging is her primary health care specialty. Menchaca, Martha G can be contacted via phone (312) 580-5755.

Contact Information

Primary practice address
4130 W 26Th St Chicago IL 60623-4312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.111975 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 224444 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X 036.111975 Illinois

Profile Details

NPI number 1629059662
LBN Legal business name Menchaca, Martha G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Apr 28th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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