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Individual
CESAR ITURIEL MENCHACA
Active
Individual
CESAR ITURIEL MENCHACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
036146672
IL
208000000X
Pediatrics Physician
125066842
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT217869
PA
Other
Enumeration date
06/05/2015
Last updated
06/17/2019
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