Individual
JAMES MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2005 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 910-5059
(847) 623-5304
Mailing address
2005 WASHINGTON ST, WAUKEGAN, IL 60085-5131
(847) 910-5059
(847) 623-5304
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
IL
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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