Organization
KATARZYNA MENCEL M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J MENCEL M.D. (OWNER)
(708) 456-3200
Entity
Organization
Contact information
Practice address
7740 W NORTH AVE, ELMWOOD PARK, IL 60707-4124
(708) 456-3200
(708) 456-3437
Mailing address
7740 W NORTH AVE, ELMWOOD PARK, IL 60707-4124
(708) 456-3200
(708) 456-3437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-103885
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103885
—
IL
Enumeration date
10/31/2007
Last updated
11/01/2007
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