Individual
BENITA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 S 53RD AVE, CICERO, IL 60804-3919
(630) 248-7799
Mailing address
3225 S 53RD AVE, CICERO, IL 60804-3919
(630) 248-7799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041482496
IL
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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