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Contact Information

LUIS E MENDOZA, DPM
5610 W CERMAK RD
CICERO, IL60804
 Phone: 708-780-8661
 Fax: 708-231-9818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LUIS E MENDOZA · (Male)

NPI # 1306887328
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/09/2006
Last updated 03/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016004474
  • IL Medicaid 016004474
Hospital affiliation(s) Not Available
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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