Mendoza Moreno, Harold Lisandro

Mendoza Moreno, Harold Lisandro is an sole proprietor health care provider with primary practice located at 26536 W Countryside Ln , Plainfield IL 60585-2324. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Mendoza Moreno, Harold Lisandro can be contacted via phone (630) 258-0401.

Contact Information

Primary practice address
26536 W Countryside Ln Plainfield IL 60585-2324
Phone: (630) 258-0401
Fax: (779) 234-9841
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 238.000377 Illinois
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238.000377 Illinois

Profile Details

NPI number 1366879330
LBN Legal business name Mendoza Moreno, Harold Lisandro
Credentials RSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2013
Last updated Mar 19th, 2024 - about 8 months 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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