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Individual

JASMINE L MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2946 S WALNUT RD, FREEPORT, IL 61032-9528
(815) 235-6173
Mailing address
2946 S WALNUT RD, FREEPORT, IL 61032-9528

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
209.034154
IL
363LF0000X
Family Nurse Practitioner
Primary
209034154
IL

Other

Enumeration date
12/08/2025
Last updated
02/03/2026
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