Search › Illinois › 1041C0700X
Jeannette Mendoza-Martinez
NPI 1417671025 · on the registry since 2022
Practice
- Address
- 980 Carnegie Knolls Dr
O Fallon, IL 62269 - Phone
- (240) 921-9959
Additional practice sites
- 310 W Losey St, Scott Afb, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- DE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-11
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