Organization
EZEQUIEL MENDEZ SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZEQUIEL MENDEZ HUERTA MD (PRESIDENT)
(773) 523-2500
Entity
Organization
Contact information
Practice address
4121 S ARCHER AVE, CHICAGO, IL 60632
(773) 254-2525
(773) 254-7999
Mailing address
4121 S ARCHER AVE, CHICAGO, IL 60632
(773) 254-2525
(773) 254-7999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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