Individual
DR. DANIEL MENDOZA SENSENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 S KING DR, CHICAGO, IL 60616-2441
(312) 842-7117
(312) 949-1895
Mailing address
2545 S KING DR, CHICAGO, IL 60616-2441
(708) 383-8418
(312) 949-1895
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036075949
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075949
—
IL
Enumeration date
07/11/2006
Last updated
12/17/2021
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