Mendizabal, Mary Jean

Mendizabal, Mary Jean is an sole proprietor health care provider with primary practice located at 1 N Broadway St , Des Plaines IL 60016-2335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mendizabal, Mary Jean can be contacted via phone (847) 298-3150.

Contact Information

Primary practice address
1 N Broadway St Des Plaines IL 60016-2335
Phone: (847) 298-3150
Fax: (847) 298-5235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 85002898 Illinois

Profile Details

NPI number 1902989908
LBN Legal business name Mendizabal, Mary Jean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers