Individual
MISS CARMEN MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2859 S AVERS AVE, CHICAGO, IL 60623-4541
(773) 521-8023
Mailing address
2859 S AVERS AVE, CHICAGO, IL 60623-4541
(773) 521-8023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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