BENJAMIN MENDOZA (NPI# 1619539632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619539632 |
Entity Type | Individual |
Full Name | BENJAMIN MENDOZA |
Practice Address |
6303 W 63rd St Unit 3c Chicago IL 60638-7015 |
Practice Telephone | 7739938389 |
Mailing Telephone | 7739938389 |
Enumeration Date | 2019-06-29 |
Last Update Date | 2019-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245686658 | Benjamin R Mendoza Jr. | Counselor | 5429 Ovando Way, Las Vegas, NV 89122-8652 | 2016-05-05 |
1457781320 | Benjamin Mendoza | Dental Hygienist | 2195 Monterey Hwy Ste 30, San Jose, CA 95125-1069 | 2013-11-13 |
Street Address |
6303 W 63RD ST UNIT 3C |
City | CHICAGO |
State | IL |
Zip Code | 60638-7015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
Find all providers in zip 60638 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
1841774825 | Matthew E Huggins | Specialist | 4553 W 56th St Apt 204c, Chicago, IL 60629-5389 | 2018-09-17 |
1750860177 | Muhammad Asim Khan | Specialist | 60 E Delaware Pl, Chicago, Il 60611, 14th Floor Urology- Andrology Clinic, Chicago, IL 60611 | 2018-08-07 |
1922502657 | Shauntay Robertson | Specialist | 7342 S Richmond St, Chicago, IL 60629-3015 | 2018-03-19 |
1114448644 | Ageless Men's Health Holdings Inc | Specialist | 1729 N Clybourn Ave, Chicago, IL 60614-6503 | 2017-07-06 |
1447798871 | Andria Miller | Specialist | 840 N Western Ave, Chicago, IL 60622-4638 | 2017-02-06 |
1710425129 | Rtb Sc | Specialist | 5015 N. Paulina #225, Chicago, IL 60640 | 2017-02-06 |
1881137354 | Joy Deliverance Williamson | Specialist | 3863 W Flournoy St, Apt. 1w, Chicago, IL 60624-3617 | 2016-11-30 |
1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
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.