Individual
JOSEPH ALBERT MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
1740 W TAYLOR ST, C100, M/C 889, CHICAGO, IL 60612-7232
(312) 996-3700
Mailing address
1740 W TAYLOR ST, C100, M/C 889, CHICAGO, IL 60612-7232
(312) 996-3700
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
056.009192
IL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.009192
IL
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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