Mendoza, Carrie D

Mendoza, Carrie D is an individual health care provider with primary practice located at 2525 S Michigan Ave , Chicago IL 60616-2315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mendoza, Carrie D can be contacted via phone (312) 567-2000.

Contact Information

Primary practice address
2525 S Michigan Ave Chicago IL 60616-2315
Phone: (312) 567-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR 42658 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 869 Wisconsin

Profile Details

NPI number 1932174513
LBN Legal business name Mendoza, Carrie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jan 10th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932174513 NPPES
Colorado Other P00472353 RAILROAD MEDICARE
Colorado MEDICAID 100048758 RAILROAD MEDICARE
Colorado MEDICAID 85327824 RAILROAD MEDICARE

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