Individual
DR. BERNARDINO MICHAEL MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1124 ESSINGTON RD, JOLIET, IL 60435-8423
(815) 373-1004
(815) 744-3969
Mailing address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
(615) 449-5771
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
01084266A
IN
208200000X
Plastic Surgery Physician
Primary
036148384
IL
208600000X
Surgery Physician
1114216363
IL
390200000X
Student in an Organized Health Care Education/Training Program
M53207384272
IL
Other
Enumeration date
03/28/2011
Last updated
04/06/2023
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