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Contact Information

MARTHA MENCHACA, MD
611 W PARK
FAPC
CHAMPAIGN, IL61802
 Phone: 217-902-6954
 Fax: 217-902-7711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Neuroimaging

2085D0003X
Indicates primary specialty

NPI Profile & details for MARTHA MENCHACA · (Female)

NPI # 1629059662
Status Active
Credentials MD
Entity Individual
Enumeration date 11/08/2005
Last updated 05/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.111975
  • MA License # 224444
Hospital affiliation(s)
  • UNIVERSITY OF ILLINOIS HOSPITAL - (Acute Care)
    1740 WEST TAYLOR ST SUITE 1400
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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