Mesina, Wilfred V
Mesina, Wilfred V is an sole proprietor health care provider with primary practice located at 6016 W Barry Ave , Chicago IL 60634-5105. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Mesina, Wilfred V can be contacted via phone (773) 818-6775.Contact Information
Primary practice address
6016 W Barry Ave
Chicago IL 60634-5105
Phone: (773) 818-6775
Fax: (773) 622-8608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | Illinois |
Profile Details
| NPI number | 1831388479 |
|---|---|
| LBN Legal business name | Mesina, Wilfred V |
| Credentials | Radiologic Technologist (RT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2007 |
| Last updated | Oct 19th, 2007 - about 17 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 | 1831388479 | NPPES |
| Illinois | MEDICAID | 363799312001 |
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