Individual
DR. MICHELLE ALEXANDRA MENDIOLA-PLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 257-6464
Mailing address
445 E OHIO ST APT 2117, CHICAGO, IL 60611-3339
(310) 746-7294
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125072484
IL
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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