Individual
MARY JEAN MENDIZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 N BROADWAY ST, DES PLAINES, IL 60016-2335
(847) 298-3150
(847) 298-5235
Mailing address
3312 W BEACH AVE APT 1, CHICAGO, IL 60651-2592
(347) 907-7565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85002898
IL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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