Individual
IRMA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
251 E HURON ST, FEINBERG 5-704, CHICAGO, IL 60611-2908
(312) 695-9797
(312) 695-0050
Mailing address
251 E HURON ST, FEINBERG 5-704, CHICAGO, IL 60611-2908
(312) 695-9797
(312) 695-0050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-283079
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-005451
IL
Other
Enumeration date
01/19/2007
Last updated
05/01/2014
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