Mencel, Kathryn J

Mencel, Kathryn J is an individual health care provider with primary practice located at 7740 W North Ave , Elmwood Park IL 60707-4124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mencel, Kathryn J can be contacted via phone (708) 456-3200.

Contact Information

Primary practice address
7740 W North Ave Elmwood Park IL 60707-4124
Phone: (708) 456-3200
Fax: (708) 456-3427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-103885 Illinois

Profile Details

NPI number 1538113956
LBN Legal business name Mencel, Kathryn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 19th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538113956 NPPES
Illinois MEDICAID 036103885
Illinois Other 1632546

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