Individual
NICHOLAS MENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5140
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS18447
FL
207RC0000X
Cardiovascular Disease Physician
Primary
036.173277
IL
Other
Enumeration date
03/25/2019
Last updated
05/09/2025
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