Individual
CESAR E MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1137 OSTRANDER AVE, LA GRANGE PARK, IL 60526-1349
(773) 972-8925
Mailing address
1137 OSTRANDER AVE, LA GRANGE PARK, IL 60526-1349
(773) 972-8925
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036064511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036064511
—
IL
Enumeration date
12/22/2005
Last updated
10/05/2021
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