Mj Mendizabal Pa-C Mms, P.C
LBN: Mj Mendizabal Pa-C Mms, P.C
Mj Mendizabal Pa-C Mms, P.C is an health care organization with primary practice located at 422 N Northwest Hwy Ste B2 , Park Ridge IL 60068-3272. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty.
Mj Mendizabal Pa-C Mms, P.C can be contacted via phone (773) 984-1494, or through Mendizabal, Mary Jean via phone (773) 984-1494.
Contact Information
Primary practice address
422 N Northwest Hwy Ste B2
Park Ridge IL 60068-3272
Phone: (773) 984-1494
Fax: (773) 904-1919
Website:
Authorized official contact:
Name: Mendizabal, Mary Jean Physician's Assistant Certified (PA-C)
Phone: (773) 984-1494
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1215894522 |
|---|---|
| LBN Legal business name | Mj Mendizabal Pa-C Mms, P.C |
| DBA Doing business as | |
| Authorized official | Mendizabal, Mary Jean Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 7th, 2026 |
| Last updated | Jan 7th, 2026 - about 10 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215894522 | NPPES |
| Illinois | MEDICAID | 1902989908 |
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