Mendoza, Luis E

Mendoza, Luis E is an individual health care provider with primary practice located at 5610 W Cermak Rd , Cicero IL 60804. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mendoza, Luis E can be contacted via phone (708) 780-8661.

Contact Information

Primary practice address
5610 W Cermak Rd Cicero IL 60804
Phone: (708) 780-8661
Fax: (708) 231-9818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004474 Illinois

Profile Details

NPI number 1306887328
LBN Legal business name Mendoza, Luis E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 15th, 2023 - about 3 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 1306887328 NPPES
Illinois MEDICAID 016004474

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