Mendoza, Leslie

Mendoza, Leslie is an sole proprietor health care provider with primary practice located at 10046 S Western Ave , Chicago IL 60643-1926. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Mendoza, Leslie can be contacted via phone (773) 290-5842.

Contact Information

Primary practice address
10046 S Western Ave Chicago IL 60643-1926
Phone: (773) 290-5842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1467909010
LBN Legal business name Mendoza, Leslie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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