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James Mendoza
NPI 1396166724 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2005 Washington St
Waukegan, IL 60085 - Phone
- (847) 910-5059
- Fax
- (847) 623-5304
Registry record
- Primary taxonomy
- 252Y00000X
252Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois