Mesina, Wilfred V

Mesina, Wilfred V is an sole proprietor health care provider with primary practice located at 6016 W Barry Ave , Chicago IL 60634-5105. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Mesina, Wilfred V can be contacted via phone (773) 818-6775.

Contact Information

Primary practice address
6016 W Barry Ave Chicago IL 60634-5105
Phone: (773) 818-6775
Fax: (773) 622-8608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X Illinois

Profile Details

NPI number 1831388479
LBN Legal business name Mesina, Wilfred V
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2007
Last updated Oct 19th, 2007 - about 18 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 1831388479 NPPES
Illinois MEDICAID 363799312001

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