Individual
MANUEL MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22218 CLYDE AVE, SAUK VILLAGE, IL 60411-5058
(708) 757-6790
Mailing address
22218 CLYDE AVE, SAUK VILLAGE, IL 60411-5058
(708) 757-6790
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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