Individual
NASYA MENDOZA-ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S. MARYLAND AVE., M/C 31026, CHICAGO, IL 60637
(773) 702-2123
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125.073584
IL
390200000X
Student in an Organized Health Care Education/Training Program
276730
MA
Other
Enumeration date
07/23/2018
Last updated
06/12/2019
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