Individual
DR. ARTURO T MENCHACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411
(217) 463-3184
Mailing address
727 E COURT ST, PARIS, IL 61944-2460
(217) 465-8411
(217) 463-3184
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
036060767
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
036060767
IL
208800000X
Urology Physician
036060767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021609821
BLUE CROSS BLUE SHEILD
IL
01
—
363610625
TAX ID
IL
Enumeration date
03/16/2007
Last updated
05/29/2015
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