Mensing, Joel Robert
Mensing, Joel Robert is an individual health care provider with primary practice located at 3700 W 203Rd St Ste 204 , Olympia Fields IL 60461-1182. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mensing, Joel Robert can be contacted via phone (708) 709-6595.Contact Information
Primary practice address
3700 W 203Rd St Ste 204
Olympia Fields IL 60461-1182
Phone: (708) 709-6595
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02005047A | Indiana |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.132223 | Illinois |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036.132223 | Illinois |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036.132223 | Illinois |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 02005047A | Indiana |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 125057521 | Illinois |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 02005047A | Indiana |
Profile Details
NPI number | 1336454404 |
---|---|
LBN Legal business name | Mensing, Joel Robert |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 13th, 2010 |
Last updated | Dec 27th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336454404 | NPPES |
Illinois | Other | 125057524 | LICENSE |
Illinois | MEDICAID | 300004529 | LICENSE |
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