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Contact Information

JESSE MEJORADA, CP
401 HARRISON ST
OAK PARK, IL60304-1427
 Phone: 708-383-2257
 Fax: 708-383-0739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for JESSE MEJORADA · (Male)

NPI # 1134621725
Status Active
Credentials CP
Entity Individual
Enumeration date 02/28/2018
Last updated 02/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 211.000146
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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