DR. DANIEL MENDOZA (NPI# 1558479782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558479782 |
Entity Type | Individual |
Full Name | DR. DANIEL MENDOZA |
Credential | M.D. |
Practice Address |
1701 W Superior St Chicago IL 60622-5646 |
Mailing Address |
5526 W Hutchinson St Chicago IL 60641-1318 |
Practice Telephone | 3126663494 |
Mailing Telephone | 7736858671 |
Enumeration Date | 2006-08-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902883465 | Daniel Mendoza | Podiatrist | 336 Sumner Hall Dr, Gallatin, TN 37066-3129 | 2005-12-27 |
1629686738 | Daniel Mendoza | Physical Therapist | 2519 S Lakeline Blvd Ste 100, Cedar Park, TX 78613-2964 | 2020-07-15 |
1285297564 | Daniel Robert Mendoza | Counselor | 3838 Nw 36th St, Oklahoma City, OK 73112-2970 | 2019-04-22 |
1699210997 | Daniel Mendoza | Behavioral Analyst | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2016-12-23 |
1235346859 | Daniel B Mendoza | Dentist | 133 Arch St, Suite 1, Redwood City, CA 94062-1379 | 2007-05-16 |
Street Address |
1701 W SUPERIOR ST |
City | CHICAGO |
State | IL |
Zip Code | 60622-5646 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164461935 | Edith H Harte | Obstetrics & Gynecology | 1701 W Superior St, Erie Family Health Center, Chicago, IL 60622-5646 | 2006-06-06 |
1093331837 | Ana K Perez | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
1760008502 | Lucy Marie Amaro | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
1871119743 | Allee Mcdaniel | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-06-17 |
1609499060 | Kelly A Quaine | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-05-20 |
1639798366 | Erica Mcnealey | Advanced Practice Midwife | 1701 W Superior St, Chicago, IL 60622-5646 | 2020-04-13 |
1114563756 | Laboratory Corporation of America | Clinical Medical Laboratory | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-11-19 |
1396389540 | Patricia Luevano | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-10-31 |
1447808647 | Giovanni Michele Perottino | Student in an Organized Health Care Education/Training Program | 1701 W Superior St, Chicago, IL 60622-5646 | 2019-08-30 |
1215442884 | Anna Ruth Blauw | Nurse Practitioner | 1701 W Superior St, Chicago, IL 60622-5646 | 2017-12-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
Find all providers in zip 60622 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1487277596 | Kali Ann Kramolis | Pediatrics | 5841 S Maryland Ave Rm K155, Chicago, IL 60637-1443 | 2020-05-22 |
1386272086 | Jane Bialek | Pediatrics | 5841 S Maryland Ave # Mc1502, Chicago, IL 60637-1443 | 2020-03-29 |
1164068730 | Alexis Gasiorowski | Pediatrics | 737 N Michigan Ave Ste 870, Chicago, IL 60611-2615 | 2019-11-19 |
1265077424 | Vanessa Harvey | Pediatrics | 1620 W Harrison St # 7k, Chicago, IL 60612-3801 | 2019-11-12 |
1811458136 | Audrey Zeis | Pediatrics | 5841 S Maryland Ave # Mc8061, Chicago, IL 60637-1443 | 2019-03-28 |
1801357470 | Roohie Kaur Poonia | Pediatrics | 5721 S Maryland Ave Unit 1200, Chicago, IL 60637-1425 | 2019-03-27 |
1649762931 | Michael Zev Nevid | Pediatrics | Rush Pediatric Care Group, 1645 W. Jackson Blvd, Chicago, IL 60612-3276 | 2018-06-01 |
1649787342 | Yi Shao | Pediatrics | 5841 S Maryland Ave # 8016, Chicago, IL 60637-1443 | 2018-01-03 |
1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.