Individual
CELINNE MENCIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1489 S. PROSPECT ST., WHEATON, IL 60189
(630) 656-4568
Mailing address
1489 S PROSPECT ST, WHEATON, IL 60189-7061
(630) 656-4568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015751
IL
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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